NPIMap

Organization Active NPI

Pharma Nova Inc

  • Community/Retail Pharmacy
  • Sacramento, CA
National Provider Identifier
1598903130
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
49289 Issued in CA
Legal business name
PHARMA NOVA INC
Doing business as
Parkside Pharmacy
Practice address
4404 Del Rio Rd
Sacramento, CA 95822-1126
Phone
(916) 452-2200
Fax
(916) 452-2247
NPI assigned
Feb 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
John Ortego
Title
President/Pharmacist in Charge
Phone
(916) 224-6027

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 49289 CA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

4404 Del Rio Rd
Sacramento, CA 95822-1126

Mailing address

4404 Del Rio Rd
Sacramento, CA 95822-1126
Phone (916) 452-2200

Other identifiers 1

IdentifierTypeStateIssuer
5633638OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Parkside Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Parkside Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1598903130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 DEL RIO RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958221126",
            "telephone_number": "916-452-2200",
            "fax_number": "916-452-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 DEL RIO RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958221126",
            "telephone_number": "916-452-2200",
            "fax_number": "916-452-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMA NOVA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "ORTEGO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "916-224-6027"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "49289",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5633638",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside 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 Jan 13, 2010; 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.