NPIMap

Organization Active NPI

Tehama Pharmacy and Trading Company

Doing business as Elmore Pharmacy

  • Pharmacy
  • Red Bluff, CA
National Provider Identifier
1073518015
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
51778 Issued in CA
Legal business name
TEHAMA PHARMACY AND TRADING COMPANY
Doing business as
Elmore Pharmacy
Practice address
401 Walnut St
Red Bluff, CA 96080-3319
Phone
(530) 527-4636
Fax
(530) 527-1344
NPI assigned
Jun 16, 2005
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Bianca BradshawNPI 1922612720
Title
President
Phone
(530) 527-4636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 51778 CA Primary

Addresses

Primary practice location

401 Walnut St
Red Bluff, CA 96080-3319

Mailing address

401 Walnut St
Red Bluff, CA 96080-3319
Phone (530) 527-4636

Other identifiers 1

IdentifierTypeStateIssuer
2145124OtherPK

Other names 1

  • Elmore Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elmore Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1073518015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WALNUT ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803319",
            "telephone_number": "530-527-4636",
            "fax_number": "530-527-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WALNUT ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803319",
            "telephone_number": "530-527-4636",
            "fax_number": "530-527-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEHAMA PHARMACY AND TRADING COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-527-4636"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "51778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145124",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmore Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elmore Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Bluff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.