Organization Active NPI

Consonus Pharmacy Services Ca North LLC

  • Long Term Care Pharmacy
  • Vacaville, CA
National Provider Identifier
1144470931
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
49171 Issued in CA
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2117169OtherPK
1144470931MedicaidCA

Other names 1

  • Consonus Pharmacy Services CA North LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Consonus Pharmacy Services Ca North2148 Icon Way, Vacaville, CA 95688-8803(866) 253-0048 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 29, 2009

National Provider Directory

National Provider Directory
Tax ID family
Consonus Pharmacy Services Ca North LLC2 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.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

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.

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.

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.

Verify at the official NPI Registry.