NPIMap

Organization Active NPI

Cares Community Health

Doing business as One Community Health Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Sacramento, CA
National Provider Identifier
1629096607
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CARES COMMUNITY HEALTH
Doing business as
One Community Health Pharmacy
Practice address
1500 21St St BLDG B
Sacramento, CA 95811-5216
Phone
(916) 914-6256
Fax
(916) 325-1986
NPI assigned
Jul 17, 2006
Last updated
Mar 22, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
CARES COMMUNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Brian Rasmussen
Title
Pharmacy Director
Phone
(916) 914-6332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1500 21St St BLDG B
Sacramento, CA 95811-5216

Mailing address

1500 21St St
Sacramento, CA 95811-5216
Phone (916) 914-6332

Other identifiers 1

IdentifierTypeStateIssuer
434920MedicaidCA

Other names 1

  • One Community Health Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241126001049 CA Part B Supplier - Pharmacy 2769418151 Practice locations: Sacramento, CA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
C a R E S

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
One Community HealthSacramento, CA, CCN 751074 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 28, 1988
One Community HealthSacramento, CA, CCN 921127 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 4, 2017
Dec 4, 2017

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Cares Community Health

    dba One Community Health - Carmichael Health Center

    • Federally Qualified Health Center (FQHC)
    • Carmichael, CA
    • NPI 1255180873

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Cares Community Health

    dba One Community Health

    • Federally Qualified Health Center (FQHC)
    • Sacramento, CA
    • NPI 1447297379

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Cares Community Health

    dba One Community Health

    • Federally Qualified Health Center (FQHC)
    • Sacramento, CA
    • NPI 1982114492

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1629096607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 21ST ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115216",
            "telephone_number": "916-914-6332",
            "fax_number": "916-325-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 21ST ST BLDG B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115216",
            "telephone_number": "916-914-6256",
            "fax_number": "916-325-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARES COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARES COMMUNITY HEALTH",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "916-914-6332"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Community Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.