Organization Active NPI

Rancho Drugs Inc

  • Community/Retail Pharmacy
  • Apple Valley, CA
National Provider Identifier
1104909258
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY22609 Issued in CA
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

Updated by the provider on Jan 18, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHA226090MedicaidCA
2002594OtherPK

Other names 1

  • Rancho Drugs Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.