Organization Active NPI

Xpress Care Pharmacy

  • Community/Retail Pharmacy
  • Sacramento, CA
National Provider Identifier
1689125403
Registry record updated Jan 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
54640 Issued in CA
Legal business name
XPRESS CARE PHARMACY
Doing business as
Medcare Pharmacy
Practice address
4241 Florin Rd Ste 50a
Sacramento, CA 95823-2535
Phone
(916) 706-2400
Fax
(916) 706-2346
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2022

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

Authorized official

Name
Prabhdeep Singh Sidhu, RPH
Title
Pharmacy Manager
Phone
(916) 706-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 54640 CA Primary

Addresses

Primary practice location

4241 Florin Rd Ste 50a
Sacramento, CA 95823-2535

Mailing address

4241 Florin Rd Ste 50a
Sacramento, CA 95823-2535
Phone (916) 706-2400

Other names 1

  • Medcare Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210703000004 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2466854054 Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory
Tax ID family
Xpress 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

4241 Florin Rd
Ste 50A
Sacramento, CA 95823
Phone (916) 706-2400

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643500800000",
    "number": "1689125403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 FLORIN RD STE 50A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232535",
            "telephone_number": "916-706-2400",
            "fax_number": "916-706-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 FLORIN RD STE 50A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232535",
            "telephone_number": "916-706-2400",
            "fax_number": "916-706-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XPRESS CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "PRABHDEEP",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "916-706-2400",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "54640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medcare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medcare 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 Jan 30, 2022; 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.