Organization Active NPI

Priceless Drug Store

  • Community/Retail Pharmacy
  • Roseville, CA
National Provider Identifier
1225103807
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PRICELESS DRUG STORE
Practice address
446 Roseville SQ
Roseville, CA 95678-2808
Phone
(916) 784-1590
Fax
(916) 784-1728
NPI assigned
Nov 21, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Bill Walter
Title
Phcy Dir
Phone
(916) 784-1590

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY38103 CA
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

446 Roseville SQ
Roseville, CA 95678-2808

Mailing address

446 Roseville SQ
Roseville, CA 95678-2808

Other identifiers 2

IdentifierTypeStateIssuer
0572760OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PHA381030MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Price Less Drug Store3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

446 Roseville Sq
Roseville, CA 95678
Phone (916) 784-1590

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1225103807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 ROSEVILLE SQ",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 ROSEVILLE SQ",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782808",
            "telephone_number": "916-784-1590",
            "fax_number": "916-784-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRICELESS DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "PHCY DIR",
        "authorized_official_telephone_number": "916-784-1590"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY38103",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0572760",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA381030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.