Organization Active NPI

Script Depot LP

  • Community/Retail Pharmacy
  • Yuba City, CA
National Provider Identifier
1871833939
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
54452 Issued in CA
Legal business name
SCRIPT DEPOT LP
Practice address
1619 Franklin Rd BLDG a
Yuba City, CA 95993-4609
Phone
(530) 674-3277
Fax
(530) 674-3664
NPI assigned
Feb 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Khaled SedkiNPI 1881979060
Title
Ceo
Phone
(530) 674-3277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 54452 CA Primary
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1619 Franklin Rd BLDG a
Yuba City, CA 95993-4609

Mailing address

1619 Franklin Rd BLDG a
Yuba City, CA 95993-4609
Phone (530) 674-3277

Other identifiers 2

IdentifierTypeStateIssuer
2164034OtherPK
1871833939MedicaidCA

Other names 1

  • Franklin Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170203001596 CA DME Supplier - Pharmacy 2062794183 Practice locations: Yuba City, CA
O20170526001100 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2062794183 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Yuba City, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Script Depot LP2 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.

Locations

1619 Franklin Rd
Bldg A
Yuba City, CA 95993
Phone (530) 674-3277

866 Plumas St
Ste C
Yuba City, CA 95991
Phone (530) 674-3277

Practitioners & affiliated clinicians

Practitioners 2

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": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1871833939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 FRANKLIN RD BLDG A",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959934609",
            "telephone_number": "530-674-3277",
            "fax_number": "530-674-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 FRANKLIN RD BLDG A",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959934609",
            "telephone_number": "530-674-3277",
            "fax_number": "530-674-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRIPT DEPOT LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "SEDKI",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-674-3277"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "54452",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164034",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871833939",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franklin Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.