Zinfandel Pharmacy Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

PHY46527 Issued in CA

Legal business name

ZINFANDEL PHARMACY INC

Practice address

1995 Zinfandel Dr
Ste 101
Rancho Cordova, CA 95670-2862

Phone

(916) 631-4440

Fax

(916) 635-1024

NPI assigned

Jun 22, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kim N. Pham, PHARM D

Title

Pharmacist

Phone

(916) 631-4440

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730185828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 ZINFANDEL DR",
            "address_2": "STE 101",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702862",
            "telephone_number": "916-631-4440",
            "fax_number": "916-635-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 ZINFANDEL DR",
            "address_2": "STE 101",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702862",
            "telephone_number": "916-631-4440",
            "fax_number": "916-635-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZINFANDEL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "916-631-4440",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "PHY46527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA308967",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Zhi, FNP-C
• Michelle Zilles, PPS
• Zinfandel Dental Practice
• Zinfandel Medical Group
• Zinfandel Medical Group, Inc

• Point of Service in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.