Active NPI
Hardip Randhawa, PHARMD
- Pharmacist
- Rocklin, CA
National Provider Identifier
1003475807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68193
- Practice address
- 3021 Stanford Ranch Rd
Rocklin, CA 95765-5537 - Phone
- (916) 435-2882
- NPI assigned
- Jun 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 68193 | CA | Primary |
Addresses
Primary practice location
3021 Stanford Ranch Rd
Rocklin, CA 95765-5537
Mailing address
1800 Standiford Ave
Modesto, CA 95350-0180
Phone (209) 574-6299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68193 | Other | CA | BOARD OF PHARMACY REGISTERED PHARMACIST LICENSE NO. |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | 121322@savemart.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68193 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1003475807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 STANDIFORD AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953500180",
"telephone_number": "209-574-6299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 STANFORD RANCH RD",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957655537",
"telephone_number": "916-435-2882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDHAWA",
"first_name": "HARDIP",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "68193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY REGISTERED PHARMACIST LICENSE NO.",
"identifier": "68193",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "121322@savemart.com",
"affiliation": "N",
"address_1": "3021 Stanford Ranch Rd",
"city": "Rocklin",
"state": "CA",
"country_code": "US",
"postal_code": "957655537",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.