Odedra Enterprises, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ODEDRA ENTERPRISES, INC.

Practice address

2809 Olive Hwy Ste 160
Oroville, CA 95966-6133

Phone

(530) 533-1545

NPI assigned

Aug 22, 2019

Organization subpart

Yes

Parent organization

ODEDRA ENTERPRISES, INCAs reported in NPPES

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

Authorized official

Name

Betty L Riddle

Title

Office Manager

Phone

(530) 588-1325

Specialties & licenses 2

Addresses

Tax ID family

Odedra Enterprises Inc3 organizations share this tax ID, including this one

Part of

Odedra Enterprises Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Odedra Enterprises, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Oroville, CA
  • NPI 1477151579
  NPD tax ID
• Odedra Enterprises, Inc.

  • Health Service Clinic/Center
  • Oroville, CA
  • NPI 1619866969
  NPD tax ID

Locations

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1033766282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 OLIVE HWY STE 160",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666133",
            "telephone_number": "530-533-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 OLIVE HWY STE 160",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666133",
            "telephone_number": "530-533-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODEDRA ENTERPRISES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ODEDRA ENTERPRISES, INC",
        "enumeration_date": "2019-08-22",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-588-1325"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Nwaizugbu, FNP-BC
• Theresa Anne O' Hair, FNP
• Joannie F O'Mahoney
• Brittany O'Regan
• Andrea Oates
• Odedra Enterprises, Inc.
• Odedra Enterprises, Inc.
• Odedra Enterprises, Inc.
• Debra Ohanesian
• Susan M Ohanlon, MFT

• Long Term Care Pharmacy in Oroville, CA
• Providers in Oroville, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.