Organization Active NPI

JCH Pharmacy Holdings Inc

Doing business as Pucci's Pharmacy

  • Community/Retail Pharmacy
  • Sacramento, CA
National Provider Identifier
1780687277
Registry record updated Feb 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JCH PHARMACY HOLDINGS INC
Doing business as
Pucci's Pharmacy
Practice address
3257 Folsom Blvd
Sacramento, CA 95816-5220
Phone
(916) 442-5891
Fax
(916) 442-4432
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2025

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

Authorized official

Name
Dr. Jeffrey Clinton Hopkins, PHARMDNPI 1932310109
Title
Ceo
Phone
(916) 442-5891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3257 Folsom Blvd
Sacramento, CA 95816-5220

Mailing address

3257 Folsom Blvd
Sacramento, CA 95816-5220
Phone (916) 442-5891

Other identifiers 2

IdentifierTypeStateIssuer
1780687277MedicaidCA
2160754OtherPK

Other names 1

  • Pucci's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20161111000709 CA DME Supplier - Pharmacy 1254610405 Practice locations: Sacramento, CA
O20170719000822 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1254610405 Practice locations: Sacramento, CA
O20210118000335 CA Part B Supplier - Independent Clinical Laboratory 1254610405 Practice locations: Sacramento, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2166384JCH Pharmacy Holdings, Inc3257 Folsom Blvd, Sacramento, CA 95816Certificate of waiverMay 15, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pucci's Pharmacy3257 Folsom Blvd, Sacramento, CA 95816-5220(916) 442-5891 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Nov 11, 2016

National Provider Directory

National Provider Directory

Locations

2821 J St
Sacramento, CA 95816
Phone (916) 442-5891

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739059200000",
    "number": "1780687277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 FOLSOM BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165220",
            "telephone_number": "916-442-5891",
            "fax_number": "916-442-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 FOLSOM BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165220",
            "telephone_number": "916-442-5891",
            "fax_number": "916-442-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCH PHARMACY HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CLINTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-442-5891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780687277",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160754",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pucci's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pucci's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.