Consonus Pharmacy Services Ca North LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CONSONUS PHARMACY SERVICES CA NORTH LLC

Doing business as

Consonus Pharmacy CA South

Practice address

1950 S Grove Ave Ste 101a
Ontario, CA 91761-5693

Phone

(866) 253-0048

Fax

(503) 961-7781

NPI assigned

Jun 13, 2024

Last updated

Jun 13, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

CONSONUS PHARMACY SERVICES CA NORTH, LLCAs reported in NPPES

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

Addresses

Other names 1

• Consonus Pharmacy CA South Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Consonus Pharmacy Services Ca North LLC

  • Long Term Care Pharmacy
  • Vacaville, CA
  • NPI 1144470931

  6507066230

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Consonus Pharmacy Services Ca North LLC

  • Long Term Care Pharmacy
  • Vacaville, CA
  • NPI 1144470931

  O20201103002067

  Same enrollment

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

Tax ID family

Consonus Pharmacy Services Ca North LLC2 organizations share this tax ID, including this one

Part of

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.

• Consonus Pharmacy Services Ca North LLC

  • Long Term Care Pharmacy
  • Vacaville, CA
  • NPI 1144470931
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Consonus Pharmacy Services Ca North LLC

  • Long Term Care Pharmacy
  • Vacaville, CA
  • NPI 1144470931
  NPPES parent name

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.

• Timmeda Morrah, PHARMD

  • Pharmacist
  • Vacaville, CA
  • NPI 1184289498
  NPD (past)

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1255174843",
    "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": "971-206-5172",
            "fax_number": "503-961-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 S GROVE AVE STE 101A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917615693",
            "telephone_number": "866-253-0048",
            "fax_number": "503-961-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSONUS PHARMACY SERVICES CA NORTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONSONUS PHARMACY SERVICES CA NORTH, LLC",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Consonus Pharmacy CA South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Ontario, CA
• Providers in Ontario, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.