Land Park Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY37170 Issued in CA

Legal business name

LAND PARK PHARMACY

Practice address

4404 Del Rio Rd
Sacramento, CA 95822-1126

Phone

(916) 452-2616

Fax

(916) 452-3474

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Gary Thomas, RPH

Title

PHRM MGN

Phone

(916) 452-2616

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1033270855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 DEL RIO RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958221126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 DEL RIO RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958221126",
            "telephone_number": "916-452-2616",
            "fax_number": "916-452-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAND PARK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PHRM MGN",
        "authorized_official_telephone_number": "916-452-2616",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY37170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA371700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0542452",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvette Lanausse, LCSW
• Daryl Lance, PHARM D
• Peter Lancione, MD
• Land Park Dental
• Land Park Pediatric Medical Group
• Annesha Land
• Gary A Land, MSOT, OTR/L
• Mimi Landa
• Salena Landa
• Laura Landberg

• Community/Retail Pharmacy in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.