Redwood Community Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

REDWOOD COMMUNITY PHARMACY

Practice address

1567 City Center Rd
McKinleyville, CA 95519-3600

Phone

(707) 633-4884

Fax

(888) 810-1949

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Anne Otting

Title

Owner

Phone

(707) 633-4884

Specialties & licenses 1

Addresses

Tax ID family

Redwood Community Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Redwood Community Pharmacy

  • Community/Retail Pharmacy
  • McKinleyville, CA
  • NPI 1790436269
  NPD tax ID

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1144087917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 CITY CENTER RD",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955193600",
            "telephone_number": "707-633-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 CITY CENTER RD",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955193600",
            "telephone_number": "707-633-4884",
            "fax_number": "888-810-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD COMMUNITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "OTTING",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-633-4884"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maymi Preston-Donahue, LCSW
• Rad Connect Inc.
• Rad Connect L.L.C
• Caprice Ramsey, RN
• Ella Rawitch
• Redwood Community Pharmacy
• Redwood Community Pharmacy
• Redwood Horizon
• Redwood Osteopathy Inc
• Redwoods Rural Health Center Inc.

• Long Term Care Pharmacy in McKinleyville, CA
• Providers in McKinleyville, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.