Allyson Kay Vander Broek, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH41808 Issued in CA

Practice address

2210 Sunrise Blvd
Rancho Cordova, CA 95670

Phone

(916) 638-0214

Fax

(916) 638-2513

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Price Less Pharmacy

  • Community/Retail Pharmacy
  • Gold River, CA
  • NPI 1134294713
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114080348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11668 N CARSON WAY",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956708106",
            "telephone_number": "916-858-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 SUNRISE BLVD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95670",
            "telephone_number": "916-638-0214",
            "fax_number": "916-638-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER BROEK",
        "first_name": "ALLYSON",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH41808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vasily Vakulchik
• Trisha Lynn Valdez
• Stefana Rikki Valenzuela I
• Valeriya Yurchak D.M.D. Inc.
• Philip Paul Van de Carr, M.D.
• Baron Vanhonsebrouck, OT,CHT
• Brenda Marie Vasquez, BSN RN
• Ernest Joseph Vasti, M.D.
• April Vaters, CADC-I
• Sandra Marie Veirs

• Pharmacist in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.