Corrections and Rehabilitation-Headquarters
Organization Active NPI Pharmacy · Sacramento, CA
NPI 1366990293 · NPPES record last updated Dec 4, 2024
Key facts
- NPI
- 1366990293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 65469 (CA)
- Legal business name
- CORRECTIONS AND REHABILITATION-HEADQUARTERS
- Practice address
- 8364 Rovana Circle
Sacramento, CA 95828-2522 - Phone
- (916) 379-1600
- NPI assigned
- Sep 20, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- CORRECTIONS AND REHABILITATION
Authorized official
- Name
- Pierre Caesare Saucier James
- Title
- Staff Services Manager I
- Phone
- (510) 780-6997
Corporate family (same tax ID) 41
Practitioners 10
-
Michael Anthony Font, PHARMD
-
Orkideh Pajand Moghaddam, PHARM.D.
-
Eugene Roth, PHARMD
-
Nguyet Thi-Minh Vo, PHARM D
National Provider Directory
- Tax ID family
- Corrections and Rehabilitation-Headquarters
- Part of
- Corrections and Rehabilitation-Headquarters
Locations
8364 Rovana Cir
Sacramento, CA 95828
Phone (916) 379-1600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 65469 | CA | Yes |
Addresses
Primary practice location
8364 Rovana Circle
Sacramento, CA 95828-2522
Mailing address
8364 Rovana Circle
Sacramento, CA 95828-2522
Phone (916) 379-1600
Other names
- CDCR Central Fill Pharmacy
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.