Churn Creek Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY324920 Issued in CA

Legal business name

CHURN CREEK PHARMACY, INC.

Practice address

3330 Churn Creek Rd
Suite A1
Redding, CA 96002-2532

Phone

(530) 222-3038

Fax

(530) 222-0337

NPI assigned

Apr 16, 2007

Last updated

Oct 20, 2009By 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

Mr. Edward Louis Fruzza, RPHNPI 1417095167

Title

Pharmacist

Phone

(530) 222-3038

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Fruzza

  • Pharmacist
  • Redding, CA
  • NPI 1417095167
  NPD (past) Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1750506796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 CHURN CREEK RD",
            "address_2": "SUITE A1",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022532",
            "telephone_number": "530-222-3038",
            "fax_number": "530-222-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CHURN CREEK RD",
            "address_2": "SUITE A1",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022532",
            "telephone_number": "530-222-3038",
            "fax_number": "530-222-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURN CREEK PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "FRUZZA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "530-222-3038",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY324920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA324920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Redding, CA
• Providers in Redding, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.