Active NPI
Professional Pharmacy Care Inc.
- Pharmacy
- Sacramento, CA
National Provider Identifier
1053305268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- PROFESSIONAL PHARMACY CARE INC.
- Practice address
- 811 Grand Ave
Suite A2
Sacramento, CA 95838-3466 - Phone
- (916) 922-4512
- Fax
- (916) 922-2540
- NPI assigned
- Sep 2, 2005
- Last updated
- Dec 3, 2007
- 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
- Mrs. Teresa Mosskelnhofer
- Title
- Ceo
- Phone
- (916) 922-4512
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 4433750001 | CA | |
| Pharmacy | 333600000X | CA | Primary |
Addresses
Primary practice location
811 Grand Ave
Suite A2
Sacramento, CA 95838-3466
Mailing address
811 Grand Ave
Suite A2
Sacramento, CA 95838-3466
Phone (916) 922-4512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA444650 | Medicaid | CA |
Other names 1
- MorCare Pharmacy
National Provider Directory
National Provider DirectoryLocations
811 Grand Ave
Ste A2
Sacramento, CA 95838
Phone (916) 922-4512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196640000000",
"number": "1053305268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 GRAND AVE",
"address_2": "SUITE A2",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958383466",
"telephone_number": "916-922-4512",
"fax_number": "916-922-2540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 GRAND AVE",
"address_2": "SUITE A2",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958383466",
"telephone_number": "916-922-4512",
"fax_number": "916-922-2540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL PHARMACY CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-02",
"last_updated": "2007-12-03",
"status": "A",
"authorized_official_last_name": "MOSSKELNHOFER",
"authorized_official_first_name": "TERESA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-922-4512",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "4433750001",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA444650",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MorCare Pharmacy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sacramento, CA
- Professional Med Transportation LLC
- Professional Medical Clinic for Women-Sacramento, Inc.
- Professional Nurses, Inc (Nurses Choice Home Care)
- Professional Orthopedic Systems of Sacramento, LLC
- Professional Orthopedic Systems of Sacramento, LLC
- Professional Village Pharmacy, Inc.
- Professional Village Pharmacy, Inc.
- Progress Ranch Treatment Services for Children
- Prohealth Home Care Inc
- Prohealth Home Care, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.