Organization Active NPI

Horsnyder Pharmacy Inc.

  • Customized Equipment (DME)
  • Santa Cruz, CA
National Provider Identifier
1831258326
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
51860 Issued in CA
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

Updated by the provider on Dec 21, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHA51860MedicaidCA
PHY326170OtherCAPHARMACY LICENSE

Other names 1

  • Horsnyder Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930038967 CA DME Supplier - PharmacyDME Supplier - Medical Supply Company 7416075163 Practice locations: Santa Cruz, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.