Organization Active NPI

Sacto Pharmacy

  • Community/Retail Pharmacy
  • Sacramento, CA
National Provider Identifier
1265699219
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY36774 Issued in CA
Legal business name
SACTO PHARMACY
Practice address
5033 Stockton Boulevard
Sacramento, CA 95820-5407
Phone
(916) 454-0168
Fax
(916) 454-5949
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Hue Kim Vo, R PHNPI 1225038821
Title
Pharmacist
Phone
(916) 454-0168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY36774 CA Primary

Addresses

Primary practice location

5033 Stockton Boulevard
Sacramento, CA 95820-5407

Mailing address

5033 Stockton Boulevard
Sacramento, CA 95820-5407
Phone (916) 454-0168

Other identifiers 1

IdentifierTypeStateIssuer
PHA367740MedicaidCA

National Provider Directory

National Provider Directory

Locations

5033 Stockton Blvd
Sacramento, CA 95820
Phone (916) 454-0168

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1265699219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5033 STOCKTON BOULEVARD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958205407",
            "telephone_number": "916-454-0168",
            "fax_number": "916-454-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5033 STOCKTON BOULEVARD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958205407",
            "telephone_number": "916-454-0168",
            "fax_number": "916-454-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACTO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "HUE",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "916-454-0168",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY36774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA367740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 19, 2008; 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.