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MONTCLAIR PHARMACY
NPI 1639217623
Pharmacy - Community/Retail Pharmacy in Oakland, CA

Active since February 02, 2007
6123 LA SALLE AVE, OAKLAND, CA 94611(510) 339-9393(510) 339-9394 Get Directions Write a Review

NPPES record last updated: November 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Montclair Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTCLAIR PHARMACY (NPI 1639217623) is a healthcare organization registered as a community/retail pharmacy in Oakland, California and active in the NPI registry since February 2007. The organization lists William Sullivan, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1639217623
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSULLIVAN PHARMACEUTICALS INC
Location Address6123 LA SALLE AVEOakland, CA 94611-2801
Mailing Address6123 La Salle AveOakland, CA 94611-2801 · (510) 339-9393 · Fax (510) 339-9394
Phone(510) 339-9393
Fax(510) 339-9394
Organization SubpartNo
Authorized OfficialWilliam SullivanPharmacist In Charge · (510) 339-9393
Enumeration DateFebruary 2, 2007
Last NPPES UpdateNovember 18, 2011
✔ NPI 1639217623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY38259
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
6123 LA SALLE AVE, Oakland, CA 94611
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Other Names 1

Doing Business AsMontclair Pharmacy

Other Identifiers 2

Other0539431Ncpdp Provider Identification Number
MedicaidPHA382590CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sullivan Pharmaceuticals Inc's NPI number?

The NPI number for Sullivan Pharmaceuticals Inc is 1639217623. It was assigned to this organization in the NPPES registry on February 2, 2007. The provider is doing business as Montclair Pharmacy.

Where is Sullivan Pharmaceuticals Inc located?

Sullivan Pharmaceuticals Inc is located at 6123 La Salle Ave, Oakland, CA 94611. The listed phone number is (510) 339-9393.

What is Sullivan Pharmaceuticals Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Sullivan Pharmaceuticals Inc was last updated on November 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.