Active NPI
Edgardo Zoo Mendoza Jr., PHARMD
- Pharmacist
- Citrus Heights, CA
National Provider Identifier
1659043941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH84727
- Practice address
- 6199 Sunrise Blvd
Citrus Heights, CA 95610-6834 - Phone
- (916) 726-6802
- NPI assigned
- Oct 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH84727 | CA | Primary |
Addresses
Primary practice location
6199 Sunrise Blvd
Citrus Heights, CA 95610-6834
Mailing address
6199 Sunrise Blvd
Citrus Heights, CA 95610-6834
Phone (916) 726-6802
Other practice location 1
2201 Arden Way
Sacramento, CA 95825-3301
Phone (916) 929-7341
Other practice location 2
12120 New Airport Rd
Auburn, CA 95603-9592
Phone (530) 888-9235
Other practice location 3
7787 Sunrise Blvd
Citrus Heights, CA 95610-2309
Phone (916) 722-1982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH84727 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co. | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1659043941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6199 SUNRISE BLVD",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956106834",
"telephone_number": "916-726-6802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6199 SUNRISE BLVD",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956106834",
"telephone_number": "916-726-6802"
}
],
"practiceLocations": [
{
"address_1": "2201 Arden Way",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958253301",
"country_code": "US",
"telephone_number": "916-929-7341",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12120 New Airport Rd",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "CA",
"postal_code": "956039592",
"country_code": "US",
"telephone_number": "530-888-9235",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7787 Sunrise Blvd",
"address_purpose": "LOCATION",
"city": "Citrus Heights",
"state": "CA",
"postal_code": "956102309",
"country_code": "US",
"telephone_number": "916-722-1982",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "EDGARDO",
"middle_name": "ZOO",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-04",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH84727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.