Takemoto Drug Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY17086 Issued in CA

Legal business name

TAKEMOTO DRUG CO

Practice address

3685 Taylor Rd
Loomis, CA 95650

Phone

(916) 652-7265

Fax

(916) 652-8731

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Gordon Takemoto, PHARMD

Title

President

Phone

(916) 652-7265

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MAIN DRUG STORE Doing business as

Locations

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1649260217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 552",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956500552",
            "telephone_number": "916-652-7265",
            "fax_number": "916-652-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 TAYLOR RD",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "95650",
            "telephone_number": "916-652-7265",
            "fax_number": "916-652-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKEMOTO DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "TAKEMOTO",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-652-7265",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY17086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA170860",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0535003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Loomis, CA
• Providers in Loomis, 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 Mar 25, 2015; 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.