Active NPI
Vang Pharmacy Inc
- Community/Retail Pharmacy
- Sacramento, CA
National Provider Identifier
1013202829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY50637
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013202829 | Medicaid | CA | |
| 2130892 | Other | PK |
Other names 1
- Vangs Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.
-
- Community/Retail Pharmacy
- Sacramento, CA
- NPI 1447242516
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.