Vladimir Kindruk, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH72431 Issued in CA

Practice address

4840 San Juan Ave
Fair Oaks, CA 95628-4719

Phone

(916) 966-2266

Fax

(916) 967-1720

NPI assigned

Apr 20, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Raleys

  • Community/Retail Pharmacy
  • Galt, CA
  • NPI 1174633820
  NPD (past)
• Raleys

  • Community/Retail Pharmacy
  • Fair Oaks, CA
  • NPI 1437269180
  NPD (past)

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1528455342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 SAN JUAN AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "95628",
            "telephone_number": "916-966-2266",
            "fax_number": "916-967-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 SAN JUAN AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284719",
            "telephone_number": "916-966-2266",
            "fax_number": "916-967-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDRUK",
        "first_name": "VLADIMIR",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH72431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF PHARMACY",
            "identifier": "RPH72431",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neema Kianfar, MS, ATC
• Kandace Kidd
• Alexa Nichole Kidman
• Kim and Rodgers Dental Corporation
• Emily Kincade
• Anita Marie King
• Loretta Lorraine Kirby
• Brieana Kline
• Kristine Kline, MA
• Eric Jon Knutson, DDS

• Pharmacist in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.