Sacrx Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY56125 Issued in CA

Legal business name

SACRX CORPORATION

Practice address

6540 Stockton Blvd
#3B
Sacramento, CA 95823-1635

Phone

(916) 701-5688

Fax

(916) 701-5687

NPI assigned

May 12, 2018

Organization subpart

No

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

Authorized official

Name

Toan Bui

Title

Owner/Ao

Phone

(916) 730-7116

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• TRI STAR PHARMACY 2 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1526083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1902396252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6540 STOCKTON BLVD",
            "address_2": "#3B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231635",
            "telephone_number": "916-701-5688",
            "fax_number": "916-701-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 STOCKTON BLVD",
            "address_2": "#3B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231635",
            "telephone_number": "916-701-5688",
            "fax_number": "916-701-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRX CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-12",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "TOAN",
        "authorized_official_title_or_position": "OWNER/AO",
        "authorized_official_telephone_number": "916-730-7116"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY56125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177577",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRI STAR PHARMACY 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sacramento Valley Pediatrics Medical Group Inc
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• Sacramento Van Conversions, Inc.
• Sacramento Wellness Center
• Sacramento Youth Center
• Sacsolano Anesthesia Exchange Medical Group, Inc
• Sacto Pharmacy
• Sacvans Mobility, Inc.
• Fereshta Sadat
• Marjan Sadat

• Community/Retail Pharmacy in Sacramento, CA
• Providers in Sacramento, 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 Jul 27, 2018; 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.

Verify at the official NPI Registry.