NPI Code Details Logo

NPI 1083117386

NPI 1083117386 : CLEAR CHOICE PHARMACY, LLC : PLEASANTON, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1083117386
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CLEAR CHOICE PHARMACY, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/13/2018
-----------------------------------------------------
    Last Update Date     |    02/06/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3059 HOPYARD RD UNIT A2-B 
-----------------------------------------------------
    City                 |    PLEASANTON
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94588-5258
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    925-623-5511
-----------------------------------------------------
    Fax                  |    925-623-5514
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    788 MORRIS TURNPIKE FL 3
-----------------------------------------------------
    City                 |    SHORT HILLS
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07078
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    973-869-2820
-----------------------------------------------------
    Fax                  |    973-869-2822
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT & OFFICER
-----------------------------------------------------
    Name                 |    MR. ANUSH  AMIN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    973-869-2820
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    333600000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    3336C0004X
-----------------------------------------------------
    Taxonomy Name        |    Compounding Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    PHY56043
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.