Active NPI
Manjinder Kaur Gill, RPH
- Pharmacist
- Sacramento, CA
National Provider Identifier
1801211412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69896
- Practice address
- 4331 Antelope Rd
Sacramento, CA 95843-6022 - Phone
- (916) 722-3304
- Fax
- (916) 722-1845
- NPI assigned
- Feb 19, 2014
- Last updated
- Feb 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 69896 | CA | Primary |
Addresses
Primary practice location
4331 Antelope Rd
Sacramento, CA 95843-6022
Mailing address
4331 Antelope Rd
Sacramento, CA 95843-6022
Phone (916) 722-3304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69896 | CA | MD | Dental Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1801211412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4331 ANTELOPE RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958436022",
"telephone_number": "916-722-3304",
"fax_number": "916-722-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4331 ANTELOPE RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958436022",
"telephone_number": "916-722-3304",
"fax_number": "916-722-1845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "MANJINDER",
"middle_name": "KAUR",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-19",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.