Panthers Limited Liability Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PANTHERS LIMITED LIABILITY CO

Practice address

3538 Manthey Rd Ste D
Stockton, CA 95206-5304

Phone

(209) 915-8973

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Jobanpreet Singh Singh Randhawa

Title

Manager

Phone

(209) 715-8168

Specialties & licenses 1

Addresses

Other names 1

• BE WELL PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1619692480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10247 VAUGHN DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952129343",
            "telephone_number": "209-715-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3538 MANTHEY RD STE D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952065304",
            "telephone_number": "209-915-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANTHERS LIMITED LIABILITY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "RANDHAWA",
        "authorized_official_first_name": "JOBANPREET SINGH",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "209-715-8168"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BE WELL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BE WELL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Giovanna Paniagua
• Leticia Paniagua
• Mladen Panic
• Ravi R Pankhaniya, M.D.
• Ravneet Kaur Pannu
• Michael Robert Panzer, DDS
• Mary Karen Papagolos, LMFT
• Paqinc
• Alejandra Perez Parada
• Monique Paradela

• Community/Retail Pharmacy in Stockton, CA
• Providers in Stockton, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.