NPIMap

Organization Active NPI

Veterans Home of California

  • Community/Retail Pharmacy
  • Yountville, CA
National Provider Identifier
1386843167
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHE 19563 Issued in CA
Legal business name
VETERANS HOME OF CALIFORNIA
Practice address
123 California Drive
Yountville, CA 94599
Phone
(707) 944-4616
Fax
(707) 944-4629
NPI assigned
Jul 12, 2007
Last updated
Jan 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Ms. Sarah Kate, PHARMACIST
Title
Pharmacy Services Manager
Phone
(707) 944-4616

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHE 19563 CA Primary
Long Term Care Pharmacy 3336L0003X PHE 19563 CA

Addresses

Primary practice location

123 California Drive
Yountville, CA 94599

Mailing address

123 California Drive
Yountville, CA 94599
Phone (707) 944-4616

Other identifiers 1

IdentifierTypeStateIssuer
PHE-19563OtherCASTATE LICENSE NO.

Other names 1

  • Veterans Home of California Pharmacy Service Other name

National Provider Directory

National Provider Directory
Tax ID family
N M Holderman Mem Surg8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

123 California Dr
Yountville, CA 94599
Phone (707) 944-4616

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1386843167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CALIFORNIA DRIVE",
            "city": "YOUNTVILLE",
            "state": "CA",
            "postal_code": "94599",
            "telephone_number": "707-944-4616",
            "fax_number": "707-944-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CALIFORNIA DRIVE",
            "city": "YOUNTVILLE",
            "state": "CA",
            "postal_code": "94599",
            "telephone_number": "707-944-4616",
            "fax_number": "707-944-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS HOME OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "KATE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PHARMACY SERVICES MANAGER",
        "authorized_official_telephone_number": "707-944-4616",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHE 19563",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHE 19563",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NO.",
            "identifier": "PHE-19563",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Veterans Home of California Pharmacy Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yountville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.