Sareen Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY56132 Issued in CA

Legal business name

SAREEN PHARMACY INC.

Doing business as

Carranza Pharmacy

Practice address

2431 3Rd. St.
Hughson, CA 95326

Phone

(209) 883-4911

Fax

(209) 883-0502

NPI assigned

May 23, 2007

Last updated

Jul 12, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

CARRANZA PHARMACY INC.As reported in NPPES

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

Authorized official

Name

Mr. Manpreet Atwal, RPH

Title

Cfo/Secretary

Phone

(209) 883-4911

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Carranza Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Part of

Carranza Pharmacy Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Carranza Pharmacy Inc

  dba Carranza Pharmacy Modesto

  • Community/Retail Pharmacy
  • Modesto, CA
  • NPI 1992848055
  NPPES parent name

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1629288188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 MITCHELL RD.",
            "address_2": "SUITE G",
            "city": "CERES",
            "state": "CA",
            "postal_code": "95307",
            "telephone_number": "209-883-4911",
            "fax_number": "209-883-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 3RD. ST.",
            "city": "HUGHSON",
            "state": "CA",
            "postal_code": "95326",
            "telephone_number": "209-883-4911",
            "fax_number": "209-883-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAREEN PHARMACY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARRANZA PHARMACY INC.",
        "enumeration_date": "2007-05-23",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "ATWAL",
        "authorized_official_first_name": "MANPREET",
        "authorized_official_title_or_position": "CFO/SECRETARY",
        "authorized_official_telephone_number": "209-883-4911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48548",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY56132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA485480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carranza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia June Martin-Michalec, RN
• Muhammad Randhawa DDS Inc
• Ashley Ann Pulford, DC
• Monica Pierce Reich, CA- SP 19740
• Terra Dee Ann Rosa
• Sareen Pharmacy Inc. (Carranza Pharmacy)
• Rachel E Smith, LMFT
• Carly Stone
• David Tafolla
• Arely Velasco, DDS

• Community/Retail Pharmacy in Hughson, CA
• Providers in Hughson, 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 Jul 12, 2018; 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.