Rancho Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY47157 Issued in CA

Legal business name

RANCHO PHARMACY

Practice address

1367 E Yosemite Ave
Manteca, CA 95336-5003

Phone

(209) 823-7658

Fax

(209) 823-8552

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Eduard Leinor

Title

Owner

Phone

(209) 823-7658

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1912912544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 E YOSEMITE AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 E YOSEMITE AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365003",
            "telephone_number": "209-823-7658",
            "fax_number": "209-823-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "LEINOR",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-823-7658"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY47157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0550687",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA471570",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0550687",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Randall K. Yee MD, a Professional Medical Corporation
• Ramandeep Kaur Randhawa, NP
• Ruben Rangel Jr.
• Annie Rankin
• Harpradeep Ratia, DMD

• Community/Retail Pharmacy in Manteca, CA
• Providers in Manteca, 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 4, 2007; 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.