Organization Active NPI

RP Healthcare Inc

  • Long Term Care Pharmacy
  • Santa Rosa, CA
National Provider Identifier
1619056660
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY45623 Issued in CA
Legal business name
RP HEALTHCARE INC
Practice address
2456 W 3Rd St
Santa Rosa, CA 95401-6425
Phone
(707) 571-5955
Fax
(707) 571-5951
NPI assigned
Nov 2, 2006
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Mr. John R O'Connell, M.S, RPH
Title
Pharmacist
Phone
(707) 571-5955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PHY45623 CA Primary

Addresses

Primary practice location

2456 W 3Rd St
Santa Rosa, CA 95401-6425

Mailing address

2456 W 3Rd St
Santa Rosa, CA 95401-6425
Phone (707) 571-5955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210210002841 CA Part B Supplier - Mass Immunization (Roster Biller Only) 4183723190 Practice locations: Santa Rosa, CA

National Provider Directory

National Provider Directory

Locations

2456 W 3rd St
Santa Rosa, CA 95401
Phone (707) 571-5955

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1619056660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2456 W 3RD ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954016425",
            "telephone_number": "707-571-5955",
            "fax_number": "707-571-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2456 W 3RD ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954016425",
            "telephone_number": "707-571-5955",
            "fax_number": "707-571-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RP HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "707-571-5955",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S, RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY45623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.