Active NPI
Horsnyder Pharmacy Inc.
- Customized Equipment (DME)
- Santa Cruz, CA
National Provider Identifier
1831258326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 51860
- Legal business name
- HORSNYDER PHARMACY INC.
- Practice address
- 1226A Soquel Avenue
Santa Cruz, CA 95062-2157 - Phone
- (831) 423-2315
- Fax
- (831) 423-2320
- NPI assigned
- Dec 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Christine C Quesenberry, R.PH.
- Title
- President
- Phone
- (831) 423-2315
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | PHY326170 | CA | |
| Customized Equipment (DME) | 332BC3200X | 51860 | CA | Primary |
Addresses
Primary practice location
1226A Soquel Avenue
Santa Cruz, CA 95062-2157
Mailing address
1226A Soquel Avenue
Santa Cruz, CA 95062-2157
Phone (831) 423-2315
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA51860 | Medicaid | CA | |
| PHY326170 | Other | CA | PHARMACY LICENSE |
Other names 1
- Horsnyder Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930038967 | CA | DME Supplier - Pharmacy | 7416075163 | Practice locations: Santa Cruz, CA |
National Provider Directory
National Provider DirectoryLocations
1226 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 423-2315
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Santa Cruz, CA
- NPI 1750129979
-
- Pharmacist
- Santa Cruz, CA
- NPI 1689261067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482278400000",
"number": "1831258326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226A SOQUEL AVENUE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950622157",
"telephone_number": "831-423-2315",
"fax_number": "831-423-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226A SOQUEL AVENUE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950622157",
"telephone_number": "831-423-2315",
"fax_number": "831-423-2320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORSNYDER PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2016-12-21",
"status": "A",
"authorized_official_last_name": "QUESENBERRY",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "831-423-2315",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CA",
"license": "PHY326170",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CA",
"license": "51860",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA51860",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "PHY326170",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Horsnyder Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.