Active NPI
Quincy Pharmacy Inc
Doing business as Quincy Pharmacy
- Community/Retail Pharmacy
- Quincy, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY55403
- Legal business name
- QUINCY PHARMACY INC
- Doing business as
- Quincy Pharmacy
- Practice address
- 411 Main St
Quincy, CA 95971-9120 - Phone
- (530) 283-4545
- Fax
- (530) 283-9263
- NPI assigned
- Nov 22, 2016
- Last updated
- Mar 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Schad, RPH
- Title
- Owner/Pic/Ao
- Phone
- (530) 701-8563
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PHY55403 | CA | Primary |
Addresses
Primary practice location
411 Main St
Quincy, CA 95971-9120
Mailing address
411 Main St
Quincy, CA 95971-9120
Phone (530) 283-4545
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386187466 | Medicaid | CA | |
| 2166318 | Other | PK |
Other names 1
- Quincy Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170413001660 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2163708736 | Practice locations: Quincy, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2214599 | Quincy Pharmacy | Certificate of waiver | Feb 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
411 Main St
Quincy, CA 95971
Phone (530) 283-4545
Practitioners & affiliated clinicians
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.
-
- Geriatric Pharmacist
- Quincy, CA
- NPI 1942613583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585180800000",
"number": "1386187466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 MAIN ST",
"city": "QUINCY",
"state": "CA",
"postal_code": "959719120",
"telephone_number": "530-283-4545",
"fax_number": "530-283-9263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 MAIN ST",
"city": "QUINCY",
"state": "CA",
"postal_code": "959719120",
"telephone_number": "530-283-4545",
"fax_number": "530-283-9263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUINCY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-22",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A",
"authorized_official_last_name": "SCHAD",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OWNER/PIC/AO",
"authorized_official_telephone_number": "530-701-8563",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY55403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386187466",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2166318",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Quincy Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Quincy Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Quincy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.