Active NPI
Rancho Drugs Inc
- Community/Retail Pharmacy
- Apple Valley, CA
National Provider Identifier
1104909258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY22609
- Legal business name
- RANCHO DRUGS INC
- Practice address
- 17798 Wika Rd
Apple Valley, CA 92307-1219 - Phone
- (760) 242-4900
- Fax
- (760) 242-8962
- NPI assigned
- Oct 23, 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
- Mr. Gopal Sojitra, PHARM D
- Title
- Pharmacist/Ceo/Pharmacist
- Phone
- (760) 242-4900
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY22609 | CA | Primary |
Addresses
Primary practice location
17798 Wika Rd
Apple Valley, CA 92307-1219
Mailing address
17798 Wika Rd
Apple Valley, CA 92307-1219
Phone (760) 242-4900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA226090 | Medicaid | CA | |
| 2002594 | Other | PK |
Other names 1
- Rancho Drugs
National Provider Directory
National Provider DirectoryLocations
17798 US Highway 18
Apple Valley, CA 92307
Phone (760) 242-4900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547769600000",
"number": "1104909258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17798 WIKA RD",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923071219",
"telephone_number": "760-242-4900",
"fax_number": "760-242-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17798 WIKA RD",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923071219",
"telephone_number": "760-242-4900",
"fax_number": "760-242-8962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANCHO DRUGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2019-01-18",
"status": "A",
"authorized_official_last_name": "SOJITRA",
"authorized_official_first_name": "GOPAL",
"authorized_official_title_or_position": "PHARMACIST/CEO/PHARMACIST",
"authorized_official_telephone_number": "760-242-4900",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY22609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA226090",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2002594",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rancho Drugs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.