Amy Ranae Allen

Individual provider Active NPI Pharmacist · Carmichael, CA

NPI 1922700293 · NPPES record last updated Mar 20, 2023

Key facts

NPI
1922700293
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
39618 (CA)
Practice address
4010 Manzanita Ave
Carmichael, CA 95608-1724
Phone
(916) 482-4930
Fax
(916) 482-1840
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
39618CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past
since Mar 26, 2023
Accepting new patients
Thrifty Payless Inc Past
since Mar 26, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 39618 CA Yes

Addresses

Primary practice location

4010 Manzanita Ave
Carmichael, CA 95608-1724

Mailing address

4010 Manzanita Ave
Carmichael, CA 95608-1724
Phone (916) 482-4930

Other providers in Carmichael, CA

All providers in Carmichael, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.