Active NPI
Sanjana Rao, PHARMD
- Pharmacist
- Eureka, CA
National Provider Identifier
1124645304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 82417
- Practice address
- 800 W Harris St
Eureka, CA 95503-3929 - Phone
- (707) 443-8311
- Fax
- (707) 443-2784
- NPI assigned
- Jul 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 82417 | CA | Primary |
Addresses
Primary practice location
800 W Harris St
Eureka, CA 95503-3929
Mailing address
1723 Terrace Way
Eureka, CA 95501-1564
Phone (267) 575-4030
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | unknown |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82417 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593734400000",
"number": "1124645304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1723 TERRACE WAY",
"city": "EUREKA",
"state": "CA",
"postal_code": "955011564",
"telephone_number": "267-575-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W HARRIS ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955033929",
"telephone_number": "707-443-8311",
"fax_number": "707-443-2784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "SANJANA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-03",
"last_updated": "2020-07-03",
"certification_date": "2020-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "82417",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "unknown",
"affiliation": "N",
"address_1": "800 W Harris St",
"city": "Eureka",
"state": "CA",
"country_code": "US",
"postal_code": "955033929",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.