Organization Active NPI

Well-Care Pharmacy

  • Community/Retail Pharmacy
  • Sacramento, CA
National Provider Identifier
1659691103
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
56778 Issued in CA
Legal business name
WELL-CARE PHARMACY
Practice address
3645 Northgate Blvd
Suite F
Sacramento, CA 95834-1641
Phone
(916) 649-1615
Fax
(916) 649-1399
NPI assigned
Jun 8, 2010
Last updated
Jun 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Mobeen Yamin
Title
Ceo
Phone
(916) 649-1615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 56778 CA Primary

Addresses

Primary practice location

3645 Northgate Blvd
Suite F
Sacramento, CA 95834-1641

Mailing address

3645 Northgate Blvd
Suite F
Sacramento, CA 95834-1641
Phone (916) 649-1615

National Provider Directory

National Provider Directory
Tax ID family
Well-Care Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3645 Northgate Blvd
Ste F
Sacramento, CA 95834
Phone (916) 649-1615

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1659691103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 NORTHGATE BLVD",
            "address_2": "SUITE F",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341641",
            "telephone_number": "916-649-1615",
            "fax_number": "916-649-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 NORTHGATE BLVD",
            "address_2": "SUITE F",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341641",
            "telephone_number": "916-649-1615",
            "fax_number": "916-649-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL-CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "YAMIN",
        "authorized_official_first_name": "MOBEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-649-1615"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "56778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.