Organization Active NPI

Skyridge Pharmacy

  • Community/Retail Pharmacy
  • Auburn, CA
National Provider Identifier
1346469640
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SKYRIDGE PHARMACY
Practice address
601 Auburn Folsom Rd
Auburn, CA 95603-5623
Phone
(530) 885-3739
Fax
(530) 885-1380
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Thomas Husak, RPH
Title
Owner
Phone
(530) 885-3739

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHY21812 CA
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

601 Auburn Folsom Rd
Auburn, CA 95603-5623

Mailing address

601 Auburn Folsom Rd
Auburn, CA 95603-5623

Other identifiers 2

IdentifierTypeStateIssuer
0551792OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PHA218120MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1346469640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 AUBURN FOLSOM RD",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 AUBURN FOLSOM RD",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035623",
            "telephone_number": "530-885-3739",
            "fax_number": "530-885-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYRIDGE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HUSAK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-885-3739",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY21812",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0551792",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA218120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.