Active NPI
Gold Country Compounding LLC
- Community/Retail Pharmacy
- Auburn, CA
National Provider Identifier
1093278236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GOLD COUNTRY COMPOUNDING LLC
- Practice address
- 11990 Heritage Oak PL Ste 2C
Auburn, CA 95603-2405 - Phone
- (530) 368-2103
- NPI assigned
- Apr 12, 2019
- 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
- Dr. Janell Dawn Jones, PHARMD
- Title
- Member
- Phone
- (530) 264-6167
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
11990 Heritage Oak PL Ste 2C
Auburn, CA 95603-2405
Mailing address
11990 Heritage Oak PL Ste 2C
Auburn, CA 95603-2405
Phone (530) 368-2103
Other names 1
- Gold Country Compounding
National Provider Directory
National Provider DirectoryLocations
11990 Heritage Oak Pl
Ste 2C
Auburn, CA 95603
Phone (530) 368-2103
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 Clinician (PhC)/ Clinical Pharmacy Specialist
- Placerville, CA
- NPI 1356720684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555027200000",
"number": "1093278236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11990 HERITAGE OAK PL STE 2C",
"city": "AUBURN",
"state": "CA",
"postal_code": "956032405",
"telephone_number": "530-368-2103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11990 HERITAGE OAK PL STE 2C",
"city": "AUBURN",
"state": "CA",
"postal_code": "956032405",
"telephone_number": "530-368-2103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLD COUNTRY COMPOUNDING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-12",
"last_updated": "2019-04-12",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "JANELL",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "530-264-6167",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gold Country Compounding",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.