MEDICARE: DYNAMEDIC DRUGS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	PHY47436	CA
2	332B00000X	Durable Medical Equipment & Medical Supplies	PHY47436	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760481170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DYNAMEDIC DRUGS INC

Provider Business Mailing Address
First Line	:	1776 BROADWAY
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94612-2106
Country	:	US
Telephone Number	:	510-839-7900
Fax Number	:	510-844-0013

Provider Business Practice Location Address
First Line	:	1776 BROADWAY
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94612-2106
Country	:	US
Telephone Number	:	510-839-7900
Fax Number	:	510-844-0013

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. LARRY T BUI
Credential	:
Telephone Number	:	510-839-7900

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	09/11/2025

Similar Medicare Providers

1295182335 — EAST BAY AREA QUALITY HEALTH CORPORATION
Practice Location Address:

400 29TH AVE , SUITE 501
OAKLAND, CA
94601-2106

Practice Phone: 510-268-1800
Practice Fax: 510-268-1803

1467997049 — RAAJNA NAIDU
Practice Location Address:

400 29TH AVE
OAKLAND, CA
94601-2106

Practice Phone: 510-268-8120
Practice Fax:

1639624547 — DINA PERCIA
Practice Location Address:

2501 HARRISON ST
OAKLAND, CA
94612-3811

Practice Phone: 510-444-3344
Practice Fax:

1114040557 — MRS. SARAH JUDITH ASHBROOK LMFT
Practice Location Address:

2577 SAN PABLO AVENUE
OAKLAND, CA
94612

Practice Phone: 510-446-7180
Practice Fax:

1144188939 — RICHARD A ALLEN DPT
Practice Location Address:

2221 MARTIN LUTHER KING JR WAY
OAKLAND, CA
94612-1318

Practice Phone: 510-267-7908
Practice Fax:

1861351819 — MS. PATRICIA MARIE MACILWAINE RN
Practice Location Address:

510 17TH ST
OAKLAND, CA
94612-1553

Practice Phone: 510-318-7130
Practice Fax:

Directions to “DYNAMEDIC DRUGS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.