Elevation Family Pharmacy Inc

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

ELEVATION FAMILY PHARMACY INC

Doing business as

Winona Pharmacy

Practice address

5080 Robert J Mathews Pkwy Ste 170
El Dorado Hills, CA 95762-5702

Phone

(833) 626-1480

NPI assigned

Apr 7, 2017

Last updated

Dec 27, 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

Mr. Andrew Cannon, PHARMD

Title

Owner/President

Phone

(801) 633-7974

Specialties & licenses 1

Addresses

Other names 1

• Winona Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1508399460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 SHOUP AVE W STE K",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015050",
            "telephone_number": "801-633-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 ROBERT J MATHEWS PKWY STE 170",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625702",
            "telephone_number": "833-626-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2022-12-27",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "801-633-7974",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winona Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in El Dorado Hills, CA by specialty
• Clinic Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.