NPIMap

Organization Active NPI

Odedra Enterprises, Inc.

Doing business as Crystal Medical Center Pharmacy

  • Health Service Clinic/Center
  • Oroville, CA
National Provider Identifier
1619866969
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ODEDRA ENTERPRISES, INC.
Doing business as
Crystal Medical Center Pharmacy
Practice address
2809 Olive Hwy Ste Oroville
Oroville, CA 95966-6131
Phone
(530) 588-1325
NPI assigned
Jul 1, 2025
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Betty L Riddle
Title
Business Manager
Phone
(530) 588-1325

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

2809 Olive Hwy Ste Oroville
Oroville, CA 95966-6131

Mailing address

2809 Olive Hwy Ste Oroville
Oroville, CA 95966-6131
Phone (530) 588-1325

Other names 1

  • Crystal Medical Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Odedra Enterprises Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2809 Olive Hwy
Oroville, CA 95966
Phone (530) 533-1545

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1619866969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 OLIVE HWY STE OROVILLE",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666131",
            "telephone_number": "530-588-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 OLIVE HWY STE OROVILLE",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666131",
            "telephone_number": "530-588-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODEDRA ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "530-588-1325"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oroville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.