Raymond Y Fat

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY34910 Issued in CA

Legal business name

RAYMOND Y FAT

Doing business as

SACRAMENTO MED PARK PHARMACY

Practice address

5270 Elvas Ave
Ste D
Sacramento, CA 95819-2332

Phone

(916) 739-1513

Fax

(916) 739-6674

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Raymond Fat, RPHNPI 1922162742

Title

Pharm

Phone

(916) 739-1513

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SACRAMENTO MED PARK PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Yee Fat, RPH

  • Pharmacist
  • Sacramento, CA
  • NPI 1922162742
  NPD (past) Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1902961329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 ELVAS AVE",
            "address_2": "STE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192332",
            "telephone_number": "916-739-1513",
            "fax_number": "916-739-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 ELVAS AVE",
            "address_2": "STE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192332",
            "telephone_number": "916-739-1513",
            "fax_number": "916-739-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND Y FAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "FAT",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PHARM",
        "authorized_official_telephone_number": "916-739-1513",
        "authorized_official_credential": "RPH"
    },
    "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": "PHY34910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0591859",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA34910A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SACRAMENTO MED PARK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adai Rayford
• Tiffany Denise Rayford
• Jessica Marie Raygoza
• Rayman Chiropractic a Professional Corporation
• Anthony Todd Rayman, D.C.
• Anthony A. Rayner, MD
• Sandra Elizabeth Rayner, AUD, CCC-A
• Shanna Lee Rayyan
• Mahjooba Razavy
• NA'Amah Razon, MD, PHD

• 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 Apr 6, 2010; 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.