Active NPI
Ronald J Krein
- Pharmacy
- Merced, CA
National Provider Identifier
1093871980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY21708
- Legal business name
- RONALD J KREIN
- Practice address
- 330 E 13TH St
Merced, CA 95341-6212 - Phone
- (209) 722-5765
- Fax
- (209) 722-3296
- NPI assigned
- Dec 28, 2006
- 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
- Ronald J Krein, RPH
- Title
- Owner
- Phone
- (209) 722-5765
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY21708 | CA | Primary |
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
330 E 13TH St
Merced, CA 95341-6212
Mailing address
330 E 13TH St
Merced, CA 95341-6212
Phone (209) 722-5765
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA217080 | Medicaid | CA | |
| 0537881 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- VALLEY PRESCRIPTION PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1093871980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 E 13TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953416212",
"telephone_number": "209-722-5765",
"fax_number": "209-722-3296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E 13TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953416212",
"telephone_number": "209-722-5765",
"fax_number": "209-722-3296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD J KREIN",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "KREIN",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-722-5765",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY21708",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA217080",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0537881",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VALLEY PRESCRIPTION PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.