Deanna T on

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY45648 Issued in CA

Legal business name

DEANNA T ON

Practice address

6665 Stockton Blvd Ste 6
Sacramento, CA 95823-1634

Phone

(916) 392-3488

Fax

(916) 392-3489

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Toan On

Title

PHRM D

Phone

(916) 392-3488

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• KIM LEADER PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1659417343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245036",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958245036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6665 STOCKTON BLVD STE 6",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231634",
            "telephone_number": "916-392-3488",
            "fax_number": "916-392-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANNA T ON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "ON",
        "authorized_official_first_name": "TOAN",
        "authorized_official_title_or_position": "PHRM D",
        "authorized_official_telephone_number": "916-392-3488"
    },
    "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": "PHY45648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0563913",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIM LEADER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Nayeli Deanda
• Jose Raul Deanda, PSY.D.
• Michael Ray Deanda, D.D.S.
• Terry L Deane-Dauwalder, F.N.P.
• Sean G. Deane, MD
• Karen Grace Deaquino-Corley, M.D.
• Katelyn Jean Dearing
• Alexandria Deary
• Cameisha Rayshaun Deary
• Dezarae Deas

• Community/Retail Pharmacy in Sacramento, CA
• Providers in Sacramento, 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 Oct 5, 2012; 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.