Active NPI
LTC America LLC
- Long Term Care Pharmacy
- Sacramento, CA
National Provider Identifier
1861080236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- LTC AMERICA LLC
- Practice address
- 3403 Watt Ave
Sacramento, CA 95821-3612 - Phone
- (916) 836-4000
- Fax
- (916) 836-5000
- NPI assigned
- Jan 1, 2021
- 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
- Mr. Pratap Krishna Anne
- Title
- Pharmacy Director
- Phone
- (916) 836-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
3403 Watt Ave
Sacramento, CA 95821-3612
Mailing address
3403 Watt Ave
Sacramento, CA 95821-3612
Phone (916) 836-4000
Other names 1
- Town Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210716000853 | CA | Part B Supplier - Pharmacy | 9739581430 | Practice locations: Sacramento, CA |
| O20210818000704 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 9739581430 | Practice locations: Sacramento, CA |
| O20220301002704 | CA | Part B Supplier - Independent Clinical Laboratory | 9739581430 | Practice locations: Sacramento, CA |
| O20230508002376 | CA | Part B Supplier - Pharmacy | 3870958226 | Practice locations: Sacramento, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2250842 | Town Pharmacy | Certificate of waiver | Jan 30, 2028 |
National Provider Directory
National Provider DirectoryLocations
3403 Watt Ave
Sacramento, CA 95821
Phone (916) 836-4000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Sacramento, CA
- NPI 1063297687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684972800000",
"number": "1861080236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3403 WATT AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958213612",
"telephone_number": "916-836-4000",
"fax_number": "916-836-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3403 WATT AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958213612",
"telephone_number": "916-836-4000",
"fax_number": "916-836-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LTC AMERICA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-01",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"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": "916-836-4000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Town Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.