Organization Active NPI

Silverado Pharmacy Inc

Doing business as Napa Valley Pharmacy

  • Community/Retail Pharmacy
  • Napa, CA
National Provider Identifier
1053622860
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50326 Issued in CA
Legal business name
SILVERADO PHARMACY INC
Doing business as
Napa Valley Pharmacy
Practice address
980 Trancas St
Napa, CA 94558-2933
Phone
(707) 224-2000
Fax
(707) 224-2020
NPI assigned
Jun 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Jeffrey Hansen
Title
President
Phone
(707) 224-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50326 CA Primary

Addresses

Primary practice location

980 Trancas St
Napa, CA 94558-2933

Mailing address

980 Trancas St
Napa, CA 94558-2933
Phone (707) 224-2000

Other identifiers 2

IdentifierTypeStateIssuer
5638258OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PENDINGMedicaidCA

Other names 1

  • Napa Valley Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

980 Trancas St
Napa, CA 94558
Phone (707) 252-0990

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1053622860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 TRANCAS ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582933",
            "telephone_number": "707-224-2000",
            "fax_number": "707-224-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 TRANCAS ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582933",
            "telephone_number": "707-224-2000",
            "fax_number": "707-224-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERADO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-224-2000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5638258",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Napa Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.