Active NPI
Sanborn Pharmacy, Inc
- Community/Retail Pharmacy
- Salinas, CA
National Provider Identifier
1720789183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2023
- 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
- Jimmy Ken Eitoku
- Title
- President
- Phone
- (831) 596-2038
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230925001660 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 6002275336 | Practice locations: Salinas, CA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Gonzales Rx Pharmacy
- Community/Retail Pharmacy
- Gonzales, CA
- NPI 1245246032
Member Of
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.