Organization Active NPI

Professional Pharmacy Care Inc.

  • Pharmacy
  • Sacramento, CA
National Provider Identifier
1053305268
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHA444650MedicaidCA

Other names 1

  • MorCare Pharmacy Other name

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.