Sunrise Medical Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021562 Issued in CA

Legal business name

SUNRISE MEDICAL PHARMACY

Practice address

1000 Sunrise Ave
Ste 1a
Roseville, CA 95661-7005

Phone

(916) 782-3137

Fax

(916) 782-3111

NPI assigned

Apr 18, 2006

Last updated

Jul 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jim Bunse

Title

Owner

Phone

(916) 782-3137

Specialties & licenses 4

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1841255429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6873 DOUGLAS BLVD",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SUNRISE AVE",
            "address_2": "STE 1A",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617005",
            "telephone_number": "916-782-3137",
            "fax_number": "916-782-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "BUNSE",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-782-3137"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "021562",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0578166",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0578166",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA413920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xavier Sumpter Jr.
• Yaning Sun
• Sruthi Sundaram, MD
• Chan Mi Sung, FNP-BC
• Sunrise Couriers Inc
• Sunrise Psychological Services
• Sunrise Psychological Services, PC (Sunrise Counseling Group)
• Sunshine Audiology, Inc.
• Sunshine Sands LLC (Roseville Recovery Center)
• Califia Suntree, MS, RDN

• Community/Retail Pharmacy in Roseville, CA
• Providers in Roseville, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.