Sunrise Gold LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SUNRISE GOLD LLC

Doing business as

Sunridge LTC Pharmacy

Practice address

11460 Sunrise Gold Cir Ste F
Rancho Cordova, CA 95742-6572

Phone

(916) 500-3303

Fax

(916) 244-7344

NPI assigned

Mar 8, 2019

Last updated

May 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ma Susan Abulencia

Title

Pharmacist-in-Charge/President

Phone

(916) 500-3303

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunridge LTC Pharmacy Doing business as

Electronic endpoints 1

Locations

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.

• Ma Susan Eludo

  • Pharmacotherapy Pharmacist
  • Rancho Cordova, CA
  • NPI 1851715544
  NPD

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1265990287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11460 SUNRISE GOLD CIR STE F",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426572",
            "telephone_number": "916-500-3303",
            "fax_number": "916-244-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11460 SUNRISE GOLD CIR STE F",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426572",
            "telephone_number": "916-500-3303",
            "fax_number": "916-244-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE GOLD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "ABULENCIA",
        "authorized_official_first_name": "MA SUSAN",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE/PRESIDENT",
        "authorized_official_telephone_number": "916-500-3303"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY56812",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sunridgerx@gmail.com",
            "affiliation": "N",
            "address_1": "11460 Sunrise Gold Cir Ste F",
            "city": "Rancho Cordova",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957426572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sunridge LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunridge LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wu-Hsiung Su, M.D.
• Summerset Assisted Living LLC (Summerset Rancho Cordova Assisted Living)
• Summerset Assisted Living, LLC
• Summit Healthcare Billing LLC
• Kimberly Ann Sunahara, DDS
• Sunrise Health & Wellness Center, LLC
• Sunrise Surgical Institute
• Sunriver Senior Care LLC
• Sunset Dialysis LLC (Sunset Dialysis Center)
• Super Care, LLC (SuperCare Health)

• Long Term Care Pharmacy in Rancho Cordova, CA
• Providers in Rancho Cordova, 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 May 8, 2019; 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.