Sanders Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY94460 Issued in CA

Legal business name

SANDERS DRUG CO INC

Doing business as

KENNETH ROAD PHARMACY

Practice address

1400 W Kenneth Rd
Glendale, CA 91201-1422

Phone

(818) 242-5259

Fax

(818) 247-8593

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Oscar Pallares, PHARMD

Title

Secretary Tresurer

Phone

(818) 242-5259

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• KENNETH ROAD PHARMACY Doing business as

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1144365776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W KENNETH RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W KENNETH RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011422",
            "telephone_number": "818-242-5259",
            "fax_number": "818-247-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "PALLARES",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "SECRETARY TRESURER",
        "authorized_official_telephone_number": "818-242-5259",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY94460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0533198",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA94460",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0533198",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KENNETH ROAD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Selene Sanchez
• Vanessa Eugenia Sanchez
• Veronica I Sanchez, L.AC.
• Yaeli Sanchez
• Sanctuary Palliative Care Inc
• Steven Carl Sanders, DDS
• Christina Sandoval, BCBA
• Lilia Buitron Sandoval, LMFT
• Lizeth Sandoval
• Nicole Sandretto

• Community/Retail Pharmacy in Glendale, CA
• Providers in Glendale, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.