NPIMap

Organization Active NPI

Payless Pharmacy Inc

  • Long Term Care Pharmacy
  • Sacramento, CA
National Provider Identifier
1174037626
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
51144 Issued in CA
Legal business name
PAYLESS PHARMACY INC
Doing business as
Payless Pharmacy LTC
Practice address
2860 Del Paso Rd Ste 250
Sacramento, CA 95834-9717
Phone
(916) 624-9900
NPI assigned
Nov 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Mr. Kingsley Oti
Title
President
Phone
(650) 804-0530

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 51144 CA
Long Term Care Pharmacy 3336L0003X 51144 CA Primary

Addresses

Primary practice location

2860 Del Paso Rd Ste 250
Sacramento, CA 95834-9717

Mailing address

2860 Del Paso Rd Ste 250
Sacramento, CA 95834-9717
Phone (916) 624-9900

Other identifiers 2

IdentifierTypeStateIssuer
1669762944MedicaidCA
1174037626MedicaidCA

Other names 1

  • Payless Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Payless 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.

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1174037626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 DEL PASO RD STE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958349717",
            "telephone_number": "916-624-9900",
            "fax_number": "916-624-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 DEL PASO RD STE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958349717",
            "telephone_number": "916-624-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYLESS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "OTI",
        "authorized_official_first_name": "KINGSLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-804-0530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "51144",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "51144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669762944",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174037626",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Payless Pharmacy LTC",
            "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 May 17, 2022; 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.