Pace Zone Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PACE ZONE PHARMACY

Doing business as

Delta Pharmacy

Practice address

407 N. Main St.
Rio Vista, CA 94571

Phone

(707) 374-5135

Fax

(707) 374-5408

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Pratap K Anne

Title

Ceo/Managing Member

Phone

(209) 298-1715

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Delta Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Ann Keith, PHARM.D

  • Pharmacist
  • Rio Vista, CA
  • NPI 1598277923
  NPD (past)
• Kenneth Alan Wudel, PHARM D

  • Pharmacist
  • Rio Vista, CA
  • NPI 1871060087
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1649312174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N. MAIN ST.",
            "city": "RIO VISTA",
            "state": "CA",
            "postal_code": "94571",
            "telephone_number": "707-374-5135",
            "fax_number": "707-374-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N. MAIN ST.",
            "city": "RIO VISTA",
            "state": "CA",
            "postal_code": "94571",
            "telephone_number": "707-374-5135",
            "fax_number": "707-374-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE ZONE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2023-03-07",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "ANNE",
        "authorized_official_first_name": "PRATAP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO/MANAGING MEMBER",
        "authorized_official_telephone_number": "209-298-1715",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "58700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delta Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Moreno
• Shoni A Morris
• La Donna Norman
• Atchikitia Nsoutoula
• Diana O'Brien
• Pace Zone Pharmacy LLC (Delta Pharmacy)
• Sophie Pacheco, TRAINEE
• Rio Vista Care
• Rio Vista Care, Inc.
• Rio Vista Holistic Health Center

• Pharmacy in Rio Vista, CA
• Providers in Rio Vista, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.