Organization Active NPI

Vang Pharmacy Inc

  • Community/Retail Pharmacy
  • Sacramento, CA
National Provider Identifier
1013202829
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50637 Issued in CA
Legal business name
VANG PHARMACY INC
Practice address
7260 E Southgate Dr Ste E
Sacramento, CA 95823-2609
Phone
(916) 393-5961
Fax
(916) 393-5972
NPI assigned
Jun 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Vang, PHARM D
Title
Ceo
Phone
(916) 393-5961

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY50637 CA Primary

Addresses

Primary practice location

7260 E Southgate Dr Ste E
Sacramento, CA 95823-2609

Mailing address

7260 E Southgate Dr Ste E
Sacramento, CA 95823-2609
Phone (916) 393-5961

Other identifiers 2

IdentifierTypeStateIssuer
1013202829MedicaidCA
2130892OtherPK

Other names 1

  • Vangs Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

7260 E Southgate Dr
Ste E
Sacramento, CA 95823
Phone (916) 393-5961

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1013202829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 E SOUTHGATE DR STE E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232609",
            "telephone_number": "916-393-5961",
            "fax_number": "916-393-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 E SOUTHGATE DR STE E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232609",
            "telephone_number": "916-393-5961",
            "fax_number": "916-393-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANG PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-393-5961",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013202829",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130892",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vangs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vangs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.