Active NPI
Payless Pharmacy Inc
- Community/Retail Pharmacy
- Sacramento, CA
National Provider Identifier
1669762944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 51144
- Legal business name
- PAYLESS PHARMACY INC
- Doing business as
- PAYLESS PHARMACY
- Practice address
- 2860 Del Paso Rd Ste 250
Sacramento, CA 95834-9717 - Phone
- (916) 624-9900
- Fax
- (916) 624-9901
- NPI assigned
- Apr 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kingsley Oti
- Title
- President
- Phone
- (650) 804-0530
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 51144 | CA | Primary |
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Managed Care Organization Pharmacy | 3336M0003X |
Addresses
Primary practice location
2860 Del Paso Rd Ste 250
Sacramento, CA 95834-9717
Mailing address
2860 Del Paso Rd Ste 250
Sacramento, CA 95834-9717
Phone (916) 624-9900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2131997 | Other | PK | |
| 1669762944 | Medicaid | CA |
Other names 1
- PAYLESS PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Payless Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Sacramento, CA
- NPI 1174037626
Locations
2303 Northgate Blvd
Sacramento, CA 95833
2860 Del Paso Rd
Ste 250
Sacramento, CA 95834
Phone (916) 624-9900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652745600000",
"number": "1669762944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 DEL PASO RD STE 250",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958349717",
"telephone_number": "916-624-9900",
"fax_number": "916-624-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 DEL PASO RD STE 250",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958349717",
"telephone_number": "916-624-9900",
"fax_number": "916-624-9901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAYLESS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-07",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A",
"authorized_official_last_name": "OTI",
"authorized_official_first_name": "KINGSLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "650-804-0530",
"authorized_official_name_prefix": "Mr."
},
"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": "51144",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Managed Care Organization Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2131997",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669762944",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PAYLESS PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PAYLESS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.