Med Choice LTC Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MED CHOICE LTC PHARMACY LLC

Practice address

2222 E Orangeburg Ave Ste B3
Modesto, CA 95355-3472

Phone

(209) 298-1715

Fax

(559) 369-2408

NPI assigned

Feb 21, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Pratap Krishna Anne

Title

Pharmacy Owner

Phone

(209) 298-1715

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MED CHOICE LTC PHARMACY Other name

Locations

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1689372393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 SHERMAN DR STE 2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034001",
            "telephone_number": "951-637-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E ORANGEBURG AVE STE B3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553472",
            "telephone_number": "209-298-1715",
            "fax_number": "559-369-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CHOICE LTC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "ANNE",
        "authorized_official_first_name": "PRATAP",
        "authorized_official_middle_name": "KRISHNA",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "209-298-1715",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "60512",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED CHOICE LTC PHARMACY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MED CHOICE LTC PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lynn Marie McPhedran, RD
• Julia McReynolds
• Vanessa Anne McVay
• Karl David Meabrod, CAODC
• Galen W Meador
• Med-1 Medical Center Professional Corporation
• Marit A Medefind, CDCES
• Silvia Medel
• Paola Michelle Medina Benavides
• Fatima Medina Gonzalez

• Long Term Care Pharmacy in Modesto, CA
• Providers in Modesto, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.