Active NPI
Winters Healthcare Foundation, Inc.
Doing business as Winters Healthcare Pharmacy
- Pharmacy
- Winters, CA
National Provider Identifier
1831836618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- WINTERS HEALTHCARE FOUNDATION, INC.
- Doing business as
- Winters Healthcare Pharmacy
- Practice address
- 172 E Grant Ave Ste 100
Winters, CA 95694-1780 - Phone
- (530) 795-4377
- Fax
- (530) 230-2776
- NPI assigned
- May 13, 2022
- Last updated
- May 13, 2022
- Organization subpart
- Yes
- Parent organization
- WINTERS HEALTHCARE FOUNDATION, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beronica Barajas
- Title
- Compliance Manager
- Phone
- (530) 212-1025
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
172 E Grant Ave Ste 100
Winters, CA 95694-1780
Mailing address
172 E Grant Ave Ste 100
Winters, CA 95694-1780
Phone (530) 795-4377
Other names 1
- Winters Healthcare Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Winters Healthcare Foundation Inc
- Part of
- Winters Healthcare Foundation Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Winters Healthcare - Esparto Pharmacy
- Pharmacy
- Esparto, CA
- NPI 1235995184
-
- Family Medicine Physician
- Esparto, CA
- NPI 1821709643
Locations
172 E Grant Ave
#100
Winters, CA 95694
Phone (530) 795-4377
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Federally Qualified Health Center (FQHC)
- Winters, CA
- NPI 1992736086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652400000000",
"number": "1831836618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 E GRANT AVE STE 100",
"city": "WINTERS",
"state": "CA",
"postal_code": "956941780",
"telephone_number": "530-795-4377",
"fax_number": "530-230-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 E GRANT AVE STE 100",
"city": "WINTERS",
"state": "CA",
"postal_code": "956941780",
"telephone_number": "530-795-4377",
"fax_number": "530-230-2776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINTERS HEALTHCARE FOUNDATION, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WINTERS HEALTHCARE FOUNDATION, INC.",
"enumeration_date": "2022-05-13",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A",
"authorized_official_last_name": "BARAJAS",
"authorized_official_first_name": "BERONICA",
"authorized_official_title_or_position": "COMPLIANCE MANAGER",
"authorized_official_telephone_number": "530-212-1025"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Winters Healthcare Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winters, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.