Organization Active NPI

JCH LTC Pharmacy, LLC

Doing business as Pucci's LTC Pharmacy

  • Long Term Care Pharmacy
  • Sacramento, CA
National Provider Identifier
1487121422
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
JCH LTC PHARMACY, LLC
Doing business as
Pucci's LTC Pharmacy
Practice address
1428 33Rd St
Sacramento, CA 95816-5322
Phone
(916) 442-5891
Fax
(916) 442-4432
NPI assigned
Oct 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Dr. Jeffrey Clinton Hopkins, PHARMDNPI 1932310109
Title
Ceo
Phone
(916) 442-5891

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1428 33Rd St
Sacramento, CA 95816-5322

Mailing address

1428 33Rd St
Sacramento, CA 95816-5322
Phone (916) 442-5891

Other names 1

  • Pucci's LTC 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
O20221228002695 CA DME Supplier - Pharmacy 3577933936 Practice locations: Sacramento, CA
O20231023001117 CA Part B Supplier - Mass Immunization (Roster Biller Only) 3577933936 Practice locations: Sacramento, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
JCH LTC Pharmacy LLC1428 33Rd St, Sacramento, CA 95816-5322(916) 442-5891 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jun 27, 2022

National Provider Directory

National Provider Directory

Locations

1428 33rd St
Sacramento, CA 95816
Phone (916) 244-8880

3257 Folsom Blvd
Sacramento, CA 95816
Phone (916) 330-7420

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1487121422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 33RD ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165322",
            "telephone_number": "916-442-5891",
            "fax_number": "916-442-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 33RD ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165322",
            "telephone_number": "916-442-5891",
            "fax_number": "916-442-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCH LTC PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CLINTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-442-5891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pucci's LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.