Active NPI
Good Heart Pharmacists
- Pharmacy
- Sacramento, CA
National Provider Identifier
1275987885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 54250
- Legal business name
- GOOD HEART PHARMACISTS
- Practice address
- 1740 Fruitridge Rd # 104
Sacramento, CA 95822-3067 - Phone
- (916) 238-3118
- Fax
- (916) 238-3119
- NPI assigned
- Apr 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phuong Vu
- Title
- Pharmacist
- Phone
- (209) 747-0614
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 54250 | CA | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1740 Fruitridge Rd # 104
Sacramento, CA 95822-3067
Mailing address
1740 Fruitridge Rd # 104
Sacramento, CA 95822-3067
Phone (916) 238-3118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2159656 | Other | PK |
Other names 1
- Heart Center Pharmacy #2
National Provider Directory
National Provider Directory- Tax ID family
- Good Heart Pharmacists
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Sacramento, CA
- NPI 1376937920
Locations
1740 Fruitridge Rd
#104
Sacramento, CA 95822
Phone (916) 238-3118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462838400000",
"number": "1275987885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 FRUITRIDGE RD # 104",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958223067",
"telephone_number": "916-238-3118",
"fax_number": "916-238-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 FRUITRIDGE RD # 104",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958223067",
"telephone_number": "916-238-3118",
"fax_number": "916-238-3119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD HEART PHARMACISTS",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-20",
"last_updated": "2016-05-10",
"status": "A",
"authorized_official_last_name": "VU",
"authorized_official_first_name": "PHUONG",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "209-747-0614"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "54250",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2159656",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heart Center Pharmacy #2",
"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 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.