Organization Active NPI

Robinson's Pharmacy & Medical Supplies, Inc.

  • Community/Retail Pharmacy
  • Placerville, CA
National Provider Identifier
1558422154
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY45567 Issued in CA
Legal business name
ROBINSON'S PHARMACY & MEDICAL SUPPLIES, INC.
Practice address
359 Main Street
Placerville, CA 95667
Phone
(530) 622-3186
Fax
(530) 622-5826
NPI assigned
Dec 13, 2006
Last updated
Apr 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Dennis Earl Thomas
Title
President
Phone
(530) 622-3186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY45567 CA Primary

Addresses

Primary practice location

359 Main Street
Placerville, CA 95667

Mailing address

359 Main Street
Placerville, CA 95667
Phone (530) 622-3186

Other identifiers 2

IdentifierTypeStateIssuer
0540927OtherCANCPDP FOR PHARMACY
PHA455670MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170502001272 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2062624448 Practice locations: Placerville, CA

National Provider Directory

National Provider Directory

Locations

1261 Broadway
Placerville, CA 95667
Phone (530) 622-4132

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1558422154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 MAIN STREET",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "95667",
            "telephone_number": "530-622-3186",
            "fax_number": "530-622-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 MAIN STREET",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "95667",
            "telephone_number": "530-622-3186",
            "fax_number": "530-622-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINSON'S PHARMACY & MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-622-3186"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY45567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP FOR PHARMACY",
            "identifier": "0540927",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA455670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.