Organization Active NPI

Familia Farmacia Inc

Doing business as Familia Farmacia

  • Community/Retail Pharmacy
  • Modesto, CA
National Provider Identifier
1861965410
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FAMILIA FARMACIA INC
Doing business as
Familia Farmacia
Practice address
1757 Crows Landing Rd
Modesto, CA 95358-5608
Phone
(209) 566-9956
Fax
(209) 408-0609
NPI assigned
Jan 7, 2019
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Mr. Miguel Angel Oseguera
Title
Owner
Phone
(209) 566-9956

Specialties & licenses 1

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

Addresses

Primary practice location

1757 Crows Landing Rd
Modesto, CA 95358-5608

Mailing address

1757 Crows Landing Rd
Modesto, CA 95358-5608

Other names 1

  • Familia Farmacia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210115001091 CA Part B Supplier - Mass Immunization (Roster Biller Only) 8527471374 Practice locations: Modesto, CA

National Provider Directory

National Provider Directory

Locations

1757 Crows Landing Rd
Modesto, CA 95358
Phone (209) 566-9956

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1861965410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 CROWS LANDING RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953585608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 CROWS LANDING RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953585608",
            "telephone_number": "209-566-9956",
            "fax_number": "209-408-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILIA FARMACIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "OSEGUERA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-566-9956",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Familia Farmacia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Familia Farmacia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.