Organization Active NPI

Sanborn Pharmacy, Inc

  • Community/Retail Pharmacy
  • Salinas, CA
National Provider Identifier
1720789183
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SANBORN PHARMACY, INC
Practice address
323 N Sanborn Rd
Salinas, CA 93905-2247
Phone
(831) 287-6833
Fax
(831) 287-5663
NPI assigned
Mar 13, 2023
Last updated
Mar 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Jimmy Ken Eitoku
Title
President
Phone
(831) 596-2038

Specialties & licenses 1

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

Addresses

Primary practice location

323 N Sanborn Rd
Salinas, CA 93905-2247

Mailing address

323 N Sanborn Rd
Salinas, CA 93905-2247
Phone (831) 287-6833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230925001660 CA Part B Supplier - Mass Immunization (Roster Biller Only) 6002275336 Practice locations: Salinas, CA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1720789183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 N SANBORN RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939052247",
            "telephone_number": "831-287-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N SANBORN RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939052247",
            "telephone_number": "831-287-6833",
            "fax_number": "831-287-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANBORN PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "EITOKU",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-596-2038"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.