Kindcare Pharmacy and Medical Supply

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

53348 Issued in CA

Legal business name

KINDCARE PHARMACY AND MEDICAL SUPPLY

Practice address

230 Walnut St Ste B
Chico, CA 95928-5280

Phone

(530) 592-3917

Fax

(530) 809-1936

NPI assigned

Jan 23, 2016

Last updated

Mar 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmed MamaneNPI 1124303862

Title

Pharmacist in Charge

Phone

(530) 592-3917

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Kindcare Pharmacy and Medical Supply Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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.

• Ahmed Mamane, RPH

  • Pharmacist
  • Chico, CA
  • NPI 1124303862
  NPD Authorized official

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

{
    "created_epoch": "1453507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1386001238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 WALNUT ST STE B",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959285280",
            "telephone_number": "530-592-3917",
            "fax_number": "530-809-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 WALNUT ST STE B",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959285280",
            "telephone_number": "530-592-3917",
            "fax_number": "530-809-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDCARE PHARMACY AND MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-23",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "MAMANE",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "530-592-3917"
    },
    "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": "53348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157761",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386001238",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindcare Pharmacy and Medical Supply",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kindcare Pharmacy and Medical Supply",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Milton Kienholz, RPH
• Michael Kieran, MS BCBA
• Jennifer Francine Kim
• Asheley Dawn Kimble, RN
• Margaret Katharyn Kimzey
• Kimberly Kinder, M.D.
• Candice Deanee King
• Hailey Felicia Michelle King
• Michelle M King, D.C.
• Kingdom Medical Transport LLC

• Community/Retail Pharmacy in Chico, CA
• Providers in Chico, 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 Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.