MASONIC HOME PHARMACY (MASONIC HOMES OF CALIFORNIA) NPI 1639134950

Pharmacy (Long Term Care Pharmacy) in Union City, CA

NPI 1639134950 Organization Pharmacy Long Term Care Pharmacy

About MASONIC HOME PHARMACY (MASONIC HOMES OF CALIFORNIA)

Masonic Home Pharmacy (masonic Homes Of California) is a provider established in Union City, California specializing in pharmacy (long term care pharmacy) . The NPI number of Masonic Home Pharmacy (masonic Homes Of California) is 1639134950 and was assigned on April 2006. The practitioner's primary taxonomy code is 3336L0003X with license number PHY 41902 (CA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Masonic Home Pharmacy. The authorized official of this NPI record is Mr. Yvonne M. Wong Rph (Director Of Pharmacy)

NPI

1639134950

Provider NameMASONIC HOME PHARMACY (MASONIC HOMES OF CALIFORNIA)
Provider Location Address34400 MISSION BLVD UNION CITY, CA 94587
Provider Mailing Address34400 MISSION BLVD UNION CITY, CA 94587
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameMASONIC HOME PHARMACY
Other Name TypeDoing Business As (3)
Enumeration Date04-19-2006
Last Update Date03-12-2015


Primary Taxonomy

Taxonomy Code3336L0003X
ClassificationPharmacy
TypeSuppliers
SpecializationLong Term Care Pharmacy
License No.PHY 41902
License StateCA
Taxonomy DescriptionA pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Business Address

MASONIC HOME PHARMACY
34400 MISSION BLVD
UNION CITY, CA
ZIP 94587
Phone: (510) 429-6426
Fax: (510) 475-5697

Get Directions


Mailing Address

MASONIC HOME PHARMACY
34400 MISSION BLVD
UNION CITY, CA
ZIP 94587
Phone: (510) 429-6426
Fax: (510) 475-5697



Authorized Official

Authorized Official NameMR. YVONNE M. WONG RPH
Authorized Official TitleDIRECTOR OF PHARMACY
Authorized Official Phone(510) 429-6426

Other Providers at the same location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154325975 YVONNE M WONG RPH
Individual
Pharmacist34400 MISSION BLVD
UNION CITY, CA 94587
(510) 429-6426
1053433565 YVONNE GEE MPT
Individual
Physical Therapist (Geriatrics)34400 MISSION BLVD
UNION CITY, CA 94587
(510) 429-6474
1104948686 LANI UEMURA
Individual
Specialist34400 MISSION BLVD
UNION CITY, CA 94587
(510) 429-6474
1013139831MRS. AGNES CHINGTUEN LO
Individual
Specialist34400 MISSION BLVD
UNION CITY, CA 94587
(510) 429-6472
1174722680MRS. MARIA VICTORIA GAUDINEZ GAMO PT
Individual
Physical Therapist34400 MISSION BLVD
UNION CITY, CA 94587
(510) 429-6474
1891937629 CAROLEE ANNE RODRIGO CTRS, RTC
Individual
Recreation Therapist34400 MISSION BLVD
UNION CITY, CA 94587
(510) 429-6440
1043426588MASONIC HOMES OF CALIFORNIA
Organization
Nursing Facility/Intermediate Care Facility34400 MISSION BLVD
UNION CITY, CA 94587
(510) 429-6465
1467017863 JOSHUA GUNNER HUTCHISON COTA
Individual
Occupational Therapy Assistant34400 MISSION BLVD
UNION CITY, CA 94587
(510) 471-3434
1114111317MASONIC HOMES OF CALIFORNIA
Organization
Community/Behavioral Health34400 MISSION BLVD
UNION CITY, CA 94587
(510) 471-3434
1396376513MRS. SHEETAL MAHESH TORO PHYSICAL THERAPIST
Individual
Physical Therapist34400 MISSION BLVD
UNION CITY, CA 94587
(510) 471-3434
1144840596 SEAN DAVID YARBER COTA
Individual
Occupational Therapy Assistant34400 MISSION BLVD
UNION CITY, CA 94587
(478) 213-8087
1093335499 RABIA SHAH
Individual
Speech-Language Pathologist34400 MISSION BLVD
UNION CITY, CA 94587
(916) 276-2107
1942293071MASONIC HOMES OF CALIFORNIA
Organization
Pharmacy34400 MISSION BLVD
UNION CITY, CA 94587
(510) 471-3434
1841237112ACACIA CREEK - UNION CITY
Organization
Skilled Nursing Facility34400 MISSION BLVD
UNION CITY, CA 94587
(510) 471-3434

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.