Organization Active NPI

Obryan Company Inc

  • Community/Retail Pharmacy
  • Rancho Cordova, CA
National Provider Identifier
1861438962
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY47520 Issued in CA
Legal business name
OBRYAN COMPANY INC
Doing business as
ZINFANDEL PHARMACY
Practice address
1995 Zinfandel Dr
Ste 101
Rancho Cordova, CA 95670-2862
Phone
(916) 631-4440
Fax
(916) 635-1024
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Aubrey Obryan
Title
President
Phone
(916) 852-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY47520 CA Primary

Addresses

Primary practice location

1995 Zinfandel Dr
Ste 101
Rancho Cordova, CA 95670-2862

Mailing address

1995 Zinfandel Dr
Ste 101
Rancho Cordova, CA 95670-2862

Other identifiers 2

IdentifierTypeStateIssuer
5600843OtherOTHER ID NUMBER
5600843OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • ZINFANDEL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1995 Zinfandel Dr
Ste 101
Rancho Cordova, CA 95670
Phone (916) 631-4440

1995 Zinfandel Dr
Ste 105
Rncho Cordova, CA 95670
Phone (916) 638-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1861438962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 ZINFANDEL DR",
            "address_2": "STE 101",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 ZINFANDEL DR",
            "address_2": "STE 101",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702862",
            "telephone_number": "916-631-4440",
            "fax_number": "916-635-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBRYAN COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "OBRYAN",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-852-4222"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY47520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5600843",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5600843",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZINFANDEL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.