Ryan Sauer

Individual provider Active NPI Pharmacist · Olivehurst, CA

NPI 1699382192 · NPPES record last updated Sep 28, 2020

Key facts

NPI
1699382192
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
83144 (CA)
Practice address
5075 Olivehurst Ave
Olivehurst, CA 95961-4023
Phone
(530) 634-9970
NPI assigned
Sep 28, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
83144CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past
since Oct 4, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 83144 CA Yes

Addresses

Primary practice location

5075 Olivehurst Ave
Olivehurst, CA 95961-4023

Mailing address

1200 Railroad Ave
Yuba City, CA 95991-6637
Phone (530) 300-7523

Other providers in Olivehurst, CA

All providers in Olivehurst, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.