Organization Active NPI

Tehama Pharmacy and Trading Company

Doing business as Elmore Pharmacy Services

  • Family Medicine Physician
  • Red Bluff, CA
National Provider Identifier
1790442952
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TEHAMA PHARMACY AND TRADING COMPANY
Doing business as
Elmore Pharmacy Services
Practice address
401 Walnut St
Red Bluff, CA 96080-3319
Phone
(530) 527-4636
Fax
(530) 527-1344
NPI assigned
Nov 23, 2021
Last updated
Nov 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Bianca Bradshaw, PHARMDNPI 1922612720
Title
Owner/Authorized Official
Phone
(530) 527-4636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

401 Walnut St
Red Bluff, CA 96080-3319

Mailing address

401 Walnut St
Red Bluff, CA 96080-3319
Phone (530) 527-4636

Other names 1

  • Elmore Pharmacy Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1790442952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WALNUT ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803319",
            "telephone_number": "530-527-4636",
            "fax_number": "530-527-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WALNUT ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803319",
            "telephone_number": "530-527-4636",
            "fax_number": "530-527-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEHAMA PHARMACY AND TRADING COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "530-527-4636",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmore Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Bluff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.