Organization Active NPI

Rio Linda Leader Drugs

  • Community/Retail Pharmacy
  • Rio Linda, CA
National Provider Identifier
1790796324
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY42886 Issued in CA
Legal business name
RIO LINDA LEADER DRUGS
Practice address
402 M St
Rio Linda, CA 95673-2217
Phone
(916) 991-1701
Fax
(916) 991-2389
NPI assigned
Aug 10, 2006
Last updated
Aug 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Sam Ritchie
Title
Acct Rev MGR
Phone
(916) 991-1701

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY42886 CA Primary

Addresses

Primary practice location

402 M St
Rio Linda, CA 95673-2217

Mailing address

402 M St
Rio Linda, CA 95673-2217

Other identifiers 4

IdentifierTypeStateIssuer
0541828OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0541828OtherOTHER ID NUMBER
6019013MedicaidCA
PHA428860MedicaidCA

National Provider Directory

National Provider Directory

Locations

402 M St
Rio Linda, CA 95673
Phone (916) 991-1701

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1790796324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 M ST",
            "city": "RIO LINDA",
            "state": "CA",
            "postal_code": "956732217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 M ST",
            "city": "RIO LINDA",
            "state": "CA",
            "postal_code": "956732217",
            "telephone_number": "916-991-1701",
            "fax_number": "916-991-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO LINDA LEADER DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "RITCHIE",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "ACCT REV MGR",
        "authorized_official_telephone_number": "916-991-1701"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY42886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0541828",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0541828",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6019013",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA428860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.