Active NPI
Consonus Pharmacy Services Ca North LLC
- Long Term Care Pharmacy
- Vacaville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 49171
- Legal business name
- CONSONUS PHARMACY SERVICES CA NORTH LLC
- Doing business as
- Consonus Pharmacy Services CA North LLC
- Practice address
- 2148 Icon Way Ste 100
Vacaville, CA 95688-8803 - Phone
- (866) 253-0048
- Fax
- (503) 961-7781
- NPI assigned
- Sep 29, 2008
- Last updated
- Sep 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tami Laflen
- Title
- VP of Finance
- Phone
- (971) 206-5172
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PH02624 | NV | |
| Long Term Care Pharmacy | 3336L0003X | 49171 | CA | Primary |
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
2148 Icon Way Ste 100
Vacaville, CA 95688-8803
Mailing address
4560 SE International Way Ste 101
Milwaukie, OR 97222-4628
Phone (971) 206-5205
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2117169 | Other | PK | |
| 1144470931 | Medicaid | CA |
Other names 1
- Consonus Pharmacy Services CA North LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930071950 | CA | DME Supplier - Pharmacy | 6507066230 | Practice locations: Vacaville, CA |
| O20201103002067 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 6507066230 |
1 other NPI on this enrollment Practice locations: Ontario, CA; Vacaville, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Consonus Pharmacy CA South
- Long Term Care Pharmacy
- Ontario, CA
- NPI 1255174843
6507066230
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Consonus Pharmacy CA South
- Long Term Care Pharmacy
- Ontario, CA
- NPI 1255174843
O20201103002067
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Consonus Pharmacy Services Ca North | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Consonus Pharmacy Services Ca North LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Consonus Pharmacy CA South
- Long Term Care Pharmacy
- Ontario, CA
- NPI 1255174843
Member organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
dba Consonus Pharmacy Services Nevada
- Long Term Care Pharmacy
- Las Vegas, NV
- NPI 1144674250
Member Of
-
dba Consonus Pharmacy Services Oregon
- Long Term Care Pharmacy
- Milwaukie, OR
- NPI 1225073448
Member Of
Locations
2148 Icon Way
Ste 100
Vacaville, CA 95688
Phone (707) 227-6330
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Consonus Pharmacy CA South
- Long Term Care Pharmacy
- Ontario, CA
- NPI 1255174843
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Vacaville, CA
- NPI 1184289498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1144470931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY STE 101",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972224628",
"telephone_number": "971-206-5205",
"fax_number": "503-961-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2148 ICON WAY STE 100",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956888803",
"telephone_number": "866-253-0048",
"fax_number": "503-961-7781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSONUS PHARMACY SERVICES CA NORTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-29",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "LAFLEN",
"authorized_official_first_name": "TAMI",
"authorized_official_title_or_position": "VP OF FINANCE",
"authorized_official_telephone_number": "971-206-5172"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NV",
"license": "PH02624",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "CA",
"license": "49171",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2117169",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144470931",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Consonus Pharmacy Services CA North LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.