Timberlake Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY55841 Issued in CA

Legal business name

TIMBERLAKE PHARMACY, INC.

Doing business as

Timberlake Pharmacy

Practice address

8120 Timberlake Way
Suite 108
Sacramento, CA 95823-5412

Phone

(916) 760-2470

Fax

(916) 512-8590

NPI assigned

Sep 11, 2008

Organization subpart

No

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

Authorized official

Name

Stefanie LeNPI 1154724748

Title

Owner

Phone

(916) 760-2470

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Timberlake Pharmacy Doing business as

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.

• Stefanie Le

  • Pharmacist
  • Sacramento, CA
  • NPI 1154724748
  Authorized official Same address or phone

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1346499621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 TIMBERLAKE WAY",
            "address_2": "SUITE 108",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235412",
            "telephone_number": "916-760-2470",
            "fax_number": "916-682-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 TIMBERLAKE WAY",
            "address_2": "SUITE 108",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235412",
            "telephone_number": "916-760-2470",
            "fax_number": "916-512-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLAKE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2025-09-19",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-760-2470"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117351",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800245216",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timberlake Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terrah Tillman, M.A.
• Cristina P. Tillo
• Scott Thomas Tilson, P.T.
• Patti A. Tilton, MD
• Timberlake Family Practice a Medical Corporation
• Timberlake Physical Therapy, Inc.
• Briana Raeann Timberlake
• Kenya Times
• Caroline Timmer
• Susan G Timmer, PHD

• Community/Retail Pharmacy in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.