Active NPI
Corrie Kundert
- Pharmacist
- Gold River, CA
National Provider Identifier
1336928944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50685
- Practice address
- 2155 Golden Centre LN
Gold River, CA 95670-4477 - Phone
- (916) 858-0481
- NPI assigned
- Sep 22, 2023
- Last updated
- Sep 22, 2023
- Sex
- Male
- 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 | 50685 | CA | Primary |
Addresses
Primary practice location
2155 Golden Centre LN
Gold River, CA 95670-4477
Mailing address
8945 Cliffside LN
Fair Oaks, CA 95628-6661
Phone (916) 521-2110
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 |
|---|---|---|---|
| 50685 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bel Air Market Inc | Past | Accepting new patients | |
| Bel Air Market Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Yuba City, CA
- NPI 1053421719
-
- Community/Retail Pharmacy
- Gold River, CA
- NPI 1316057078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1336928944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8945 CLIFFSIDE LN",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956286661",
"telephone_number": "916-521-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2155 GOLDEN CENTRE LN",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "956704477",
"telephone_number": "916-858-0481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNDERT",
"first_name": "CORRIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-22",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "50685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gold River, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.