Organization Active NPI

Marysville Scripts

Doing business as Royal Oak Pharmacy

  • Community/Retail Pharmacy
  • Marysville, CA
National Provider Identifier
1417522475
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MARYSVILLE SCRIPTS
Doing business as
Royal Oak Pharmacy
Practice address
812 5TH St
Marysville, CA 95901-5615
Phone
(530) 743-4629
NPI assigned
May 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Jindjeet Hansi, PHARMD.NPI 1447798913
Title
Ceo/Pic
Phone
(530) 743-4629

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

812 5TH St
Marysville, CA 95901-5615

Mailing address

812 5TH St
Marysville, CA 95901-5615

Other names 1

  • Royal Oak Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220128001248 CA Part B Supplier - Pharmacy 2668864448 Practice locations: Marysville, CA
O20220707000663 CA DME Supplier - Pharmacy 2668864448 Practice locations: Marysville, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2269069Royal Oak Pharmacy812 5TH Street, Marysville, CA 95901Certificate of waiverSep 19, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Royal Oak Pharmacy812 5TH Street, Marysville, CA 95901-5615(530) 743-4629 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 18, 2022

National Provider Directory

National Provider Directory

Locations

812 5th St
Marysville, CA 95901
Phone (530) 743-4629

Practitioners & affiliated clinicians

Practitioners 2

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": "1621728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1417522475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 5TH ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 5TH ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015615",
            "telephone_number": "530-743-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYSVILLE SCRIPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-23",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "HANSI",
        "authorized_official_first_name": "JINDJEET",
        "authorized_official_title_or_position": "CEO/PIC",
        "authorized_official_telephone_number": "530-743-4629",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Oak Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Royal Oak Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.