Active NPI
Amanda Gin
- Pharmacist
- Sacramento, CA
National Provider Identifier
1326559642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76438
- Practice address
- 4850 Freeport Blvd
Sacramento, CA 95822-2102 - Phone
- (916) 452-3811
- NPI assigned
- Oct 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 76438 | CA | Primary |
Addresses
Primary practice location
4850 Freeport Blvd
Sacramento, CA 95822-2102
Mailing address
1611 Fruitridge Rd
Sacramento, CA 95822-3035
Other practice location 1
6845 Douglas Blvd
Granite Bay, CA 95746-6258
Phone (916) 791-8015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76438 | CA | MD | Pharmacist |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Galt, CA
- NPI 1174633820
-
- Community/Retail Pharmacy
- Sacramento, CA
- NPI 1528178274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1326559642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 FRUITRIDGE RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958223035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 FREEPORT BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958222102",
"telephone_number": "916-452-3811"
}
],
"practiceLocations": [
{
"address_1": "6845 Douglas Blvd",
"address_purpose": "LOCATION",
"city": "Granite Bay",
"state": "CA",
"postal_code": "957466258",
"country_code": "US",
"telephone_number": "916-791-8015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIN",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-13",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76438",
"primary": true
}
],
"identifiers": [],
"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 Jun 26, 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.