Eureka Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EUREKA PHARMACY LLC

Practice address

525 5TH St
Eureka, CA 95501-1032

Phone

(707) 443-8452

Fax

(707) 443-3059

NPI assigned

Jul 11, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Pratap Krishna Anne

Title

Pharmacy Director

Phone

(209) 298-1715

Specialties & licenses 2

Addresses

Other names 1

• RED CROSS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eureka Pharmacy LLC

  • Long Term Care Pharmacy
  • Eureka, CA
  • NPI 1164713517

  O20210924002290

  Same enrollment

Tax ID family

Eureka Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eureka Pharmacy LLC

  • Long Term Care Pharmacy
  • Eureka, CA
  • NPI 1164713517
  NPD tax ID

Locations

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1841978509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 5TH ST STE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011032",
            "telephone_number": "707-440-0460",
            "fax_number": "707-440-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 5TH ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011032",
            "telephone_number": "707-443-8452",
            "fax_number": "707-443-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUREKA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "ANNE",
        "authorized_official_first_name": "PRATAP",
        "authorized_official_middle_name": "KRISHNA",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "209-298-1715",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RED CROSS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RED CROSS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eureka Healthcare and Rehabilitation Center, LLC
• Eureka Internal Medicine
• Eureka OBGYN
• Eureka Pediatrics Medical Practice
• Eureka Pharmacy LLC
• Eureka Physical Therapy
• Eureka Radiation Oncology
• Eureka Radiation Oncology Consultants
• Eureka Rehabilitation & Wellness Center, LP
• Eva Teresa Marshall, M.D., a Medical Corporation

• Community/Retail Pharmacy in Eureka, CA
• Providers in Eureka, 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 Oct 4, 2024; 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.