Organization Active NPI

San Joaquin Drug Incorporated

Doing business as Yosemite Drug

  • Pharmacy
  • Coarsegold, CA
National Provider Identifier
1912559162
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SAN JOAQUIN DRUG INCORPORATED
Doing business as
Yosemite Drug
Practice address
35300 Hwy 41 Suite 101
Coarsegold, CA 93614
Phone
(559) 692-2479
NPI assigned
Jul 9, 2019
Last updated
Sep 23, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SAN JOAQUIN DRUG INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Authorized official

Name
Dr. Katherine Elizabeth Bass, PHDNPI 1871047555
Title
President
Phone
(209) 484-8184

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

35300 Hwy 41 Suite 101
Coarsegold, CA 93614

Mailing address

PO Box 1636
Planada, CA 95365
Phone (209) 382-1291

Other names 1

  • Yosemite Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
San Joaquin Drug

Locations

9215 E Highway 140
Planada, CA 95365
Phone (209) 382-1291

9215 E Highway 140
#A
Planada, CA 95365

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1912559162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1636",
            "city": "PLANADA",
            "state": "CA",
            "postal_code": "95365",
            "telephone_number": "209-382-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35300 HWY 41 SUITE 101",
            "city": "COARSEGOLD",
            "state": "CA",
            "postal_code": "93614",
            "telephone_number": "559-692-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOAQUIN DRUG INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN JOAQUIN DRUG INC",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-484-8184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yosemite Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coarsegold, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.