Rickert Enterprises

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY47495 Issued in CA

Legal business name

RICKERT ENTERPRISES

Doing business as

Alturas Pharmacy

Practice address

211 S Main St
Alturas, CA 96101-4052

Phone

(530) 233-2524

Fax

(530) 233-2703

NPI assigned

Jun 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Rickert, RPH

Title

Owner

Phone

(530) 233-2524

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ALTURAS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891730602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961014052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S MAIN ST",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961014052",
            "telephone_number": "530-233-2524",
            "fax_number": "530-233-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKERT ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICKERT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-233-2524",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY47495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0509072",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA366950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALTURAS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Efrain B Quezada
• Lisa Ann Reed, FCS/FAMILY RESOURCE
• Tony L. Reynolds, NP-C
• Rachelle Saria Ricasata, PT, DPT
• Edward Paul Richert, M.D.
• Elisa L Robertson, LCSW
• Alisha Romesha, MSW, LCSW
• Mary Schrank, MPSS-FNEQIZ
• Tara Lee Shepherd, MA, CAS
• Stacy Elizabeth Sphar, PMHNP-BC

• Community/Retail Pharmacy in Alturas, CA
• Providers in Alturas, 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 Aug 22, 2020; 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.