Organization Active NPI

Pillbox, Inc.

  • Community/Retail Pharmacy
  • Sacramento, CA
National Provider Identifier
1154962967
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PILLBOX, INC.
Practice address
3941 J St Ste 130
Sacramento, CA 95819-3628
Phone
(916) 743-3573
NPI assigned
Oct 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Seajal Javin
Title
Ceo
Phone
(916) 686-3387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3941 J St Ste 130
Sacramento, CA 95819-3628

Mailing address

3941 J St Ste 130
Sacramento, CA 95819-3628
Phone (916) 743-3573

Other names 1

  • Mercy Plaza Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210317003069 CA Part B Supplier - Pharmacy 5991112997 Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory
Tax ID family
Mercy Plaza 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.

Locations

3941 J St
Ste 130
Sacramento, CA 95819
Phone (916) 642-7900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1154962967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 J ST STE 130",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193628",
            "telephone_number": "916-743-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 J ST STE 130",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193628",
            "telephone_number": "916-743-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILLBOX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "JAVIN",
        "authorized_official_first_name": "SEAJAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-686-3387"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Plaza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.