Red Chip of Nevada

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PHY52012 Issued in CA

Legal business name

RED CHIP OF NEVADA

Doing business as

Red Chip of Nevada Pharmacy

Practice address

18009 Sky Park Cir Ste F
Irvine, CA 92614-6516

Phone

(949) 223-9830

Fax

(949) 861-7233

NPI assigned

Nov 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Vishal Gandhi, PHARM D

Title

Pharmacy Manager

Phone

(949) 223-9830

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Red Chip of Nevada Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Red Chip of Nevada

  • Specialty Pharmacy
  • Irvine, CA
  • NPI 1285146415

  O20150629001499

  Same enrollment

Tax ID family

Red Chip of Nevada2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Red Chip of Nevada

  • Specialty Pharmacy
  • Irvine, CA
  • NPI 1285146415
  NPD tax ID

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1356746267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18009 SKY PARK CIR STE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146516",
            "telephone_number": "949-223-9830",
            "fax_number": "949-861-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18009 SKY PARK CIR STE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146516",
            "telephone_number": "949-223-9830",
            "fax_number": "949-861-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CHIP OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "949-223-9830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY 52012",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "PHY52012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2403041",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Chip of Nevada Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Duane Recor
• Benjamin Record, M.D.
• Recovery & Rehabilitation Medical Group, P.C.
• Red Acorn Medical Group LLC
• Red Chip of Nevada
• Erin Reddy, PH.D., BCBA-D
• Ryan P Reddy, M.D.
• Ronia Namratha Reddypogu
• Tonya Lynn Reding, RN, CHPN
• Ali Redjaian, PSYD, LP

• Specialty Pharmacy in Irvine, CA
• Providers in Irvine, CA by specialty
• Specialty Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.