Active NPI
Ishka LLC
- Community/Retail Pharmacy
- Sonoma, CA
National Provider Identifier
1073200697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ISHKA LLC
- Practice address
- 303 W Napa St
Sonoma, CA 95476-6516 - Phone
- (707) 931-4454
- NPI assigned
- Apr 24, 2023
- 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
- Amandeep Garg
- Title
- Owner
- Phone
- (707) 931-4454
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
303 W Napa St
Sonoma, CA 95476-6516
Mailing address
303 W Napa St
Sonoma, CA 95476-6516
Phone (707) 931-4454
Other names 1
- ADOBE DRUGS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230713003249 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 9335509918 | Practice locations: Sonoma, CA |
| O20250428001973 | CA | Part B Supplier - Pharmacy | 9335509918 | Practice locations: Sonoma, CA |
| O20250618002471 | CA | DME Supplier - Pharmacy | 9335509918 | Practice locations: Sonoma, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Ishka LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Sonoma, CA
- NPI 1801628821
Locations
303 W Napa St
Sonoma, CA 95476
Phone (707) 931-4454
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Sonoma, CA
- NPI 1083910368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684886400000",
"number": "1073200697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 W NAPA ST",
"city": "SONOMA",
"state": "CA",
"postal_code": "954766516",
"telephone_number": "707-931-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 W NAPA ST",
"city": "SONOMA",
"state": "CA",
"postal_code": "954766516",
"telephone_number": "707-931-4454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISHKA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A",
"authorized_official_last_name": "GARG",
"authorized_official_first_name": "AMANDEEP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-931-4454"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ADOBE DRUGS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sonoma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.