Santa Rosa Healthcare Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SANTA ROSA HEALTHCARE INC

Doing business as

Santa Rosa Pharmacy

Practice address

1026 4TH St
Santa Rosa, CA 95404-4330

Phone

(707) 341-5200

Fax

(707) 341-5201

NPI assigned

Oct 7, 2024

Last updated

Oct 7, 2024By 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

Nimesh Champaklal Gandhi, RPH

Title

Pic

Phone

(707) 341-5200

Specialties & licenses 1

Addresses

Other names 1

• Santa Rosa Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nimeshkumar Gandhi, PHARM D

  • Pharmacist
  • Modesto, CA
  • NPI 1841852258
  NPD

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1902625924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044330",
            "telephone_number": "707-341-5200",
            "fax_number": "707-341-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044330",
            "telephone_number": "707-341-5200",
            "fax_number": "707-341-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "NIMESH",
        "authorized_official_middle_name": "CHAMPAKLAL",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "707-341-5200",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Rosa Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Santa Rosa Community Health Centers (Elsie Allen Campus)
• Santa Rosa Community Health Centers
• Santa Rosa Dental (Dinu A Gray, DDS/Myrna Menjivar Gray,DDS/Eugene Field,DDS)
• Santa Rosa Gastroenterology Medical Associates
• Santa Rosa Head and Neck Surgical Group, Inc
• Santa Rosa Hearing Specialists, Inc. (Santa Rosa Hearing)
• Santa Rosa Imaging Medical Center
• Santa Rosa Kidney Care PC
• Santa Rosa Midwifery Center
• Santa Rosa Midwifery Center

• Community/Retail Pharmacy in Santa Rosa, CA
• Providers in Santa Rosa, 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 Oct 7, 2024; 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.