Stockton Drug

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

53344 Issued in CA

Legal business name

STOCKTON DRUG

Practice address

1000 C St
Suite:35
Galt, CA 95632-1751

Phone

(209) 251-7535

Fax

(209) 251-7772

NPI assigned

May 29, 2015

Organization subpart

No

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

Authorized official

Name

Pratap Anne

Title

Director/Pic

Phone

(209) 251-7535

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• GALT PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1568842003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 C ST",
            "address_2": "SUITE:35",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956321751",
            "telephone_number": "209-251-7535",
            "fax_number": "209-251-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 C ST",
            "address_2": "SUITE:35",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956321751",
            "telephone_number": "209-251-7535",
            "fax_number": "209-251-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKTON DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2023-03-07",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "ANNE",
        "authorized_official_first_name": "PRATAP",
        "authorized_official_title_or_position": "DIRECTOR/PIC",
        "authorized_official_telephone_number": "209-251-7535"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "53344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152306",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PHY 53344",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GALT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rita P. Soria
• Hugo Sosa, SUDCC II # 7329
• Vanessa Sosa
• Jason Thomas Speaks, PHD, FNP-C, RN
• David Michael Stander
• Strategies for Change
• Strategies for Change
• Strategies for Change
• Strategies for Change
• Audra Sulamo

• Long Term Care Pharmacy in Galt, CA
• Providers in Galt, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.