Organization Active NPI

Pharmkee, Inc.

Doing business as Caruthers Pharmacy

  • Pharmacy
  • Caruthers, CA
National Provider Identifier
1063593192
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY20596 Issued in CA
Legal business name
PHARMKEE, INC.
Doing business as
Caruthers Pharmacy
Practice address
2436 W. Tahoe
Caruthers, CA 93609
Phone
(559) 237-0332
Fax
(559) 864-3497
NPI assigned
Oct 17, 2006
Last updated
Jun 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Dr. Douglas K Wilcox, PHARM.D.
Title
Director
Phone
(559) 237-0332

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X PHY20596 CA Primary

Addresses

Primary practice location

2436 W. Tahoe
Caruthers, CA 93609

Mailing address

2436 W. Tahoe
Caruthers, CA 93609
Phone (559) 237-0332

Other identifiers 2

IdentifierTypeStateIssuer
0570057OtherCANCPDP
PHA205960MedicaidCA

Other names 1

  • Caruthers Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210317001808 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1759401169 Practice locations: Caruthers, CA
O20210412000725 CA Part B Supplier - Pharmacy 1759401169 Practice locations: Caruthers, CA

National Provider Directory

National Provider Directory

Locations

2436 W Tahoe Ave
Caruthers, CA 93609
Phone (559) 237-0332

2041 E Divisadero St
Fresno, CA 93701
Phone (559) 485-2323

1121 W Vine St
Lodi, CA 95240
Phone (209) 369-3551

136 E Yosemite Ave
Madera, CA 93638
Phone (559) 674-8583

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1063593192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 W. TAHOE",
            "city": "CARUTHERS",
            "state": "CA",
            "postal_code": "93609",
            "telephone_number": "559-237-0332",
            "fax_number": "559-864-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 W. TAHOE",
            "city": "CARUTHERS",
            "state": "CA",
            "postal_code": "93609",
            "telephone_number": "559-237-0332",
            "fax_number": "559-864-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMKEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-237-0332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY20596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0570057",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA205960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caruthers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caruthers, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.