NPIMap

Organization Active NPI

Chapa-de Indian Health Program Inc

Doing business as Chapa-De Indian Health Program Pharmacy-Grass Valley

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Grass Valley, CA
National Provider Identifier
1942435946
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
License
PHY49917 Issued in CA
Legal business name
CHAPA-DE INDIAN HEALTH PROGRAM INC
Doing business as
Chapa-De Indian Health Program Pharmacy-Grass Valley
Practice address
1350 E Main St
Pharmacy Dept
Grass Valley, CA 95945-5208
Phone
(530) 477-5968
Fax
(530) 477-8738
NPI assigned
May 19, 2009
Last updated
Mar 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Lisa Davies
Title
Cfo
Phone
(530) 887-2800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X PHY49917 CA Primary
Pharmacy 333600000X

Addresses

Primary practice location

1350 E Main St
Pharmacy Dept
Grass Valley, CA 95945-5208

Mailing address

1350 E Main St
Pharmacy Dept
Grass Valley, CA 95945-5208
Phone (530) 477-5968

Other identifiers 2

IdentifierTypeStateIssuer
1942435946MedicaidCA
2120323OtherPK

Other names 1

  • Chapa-De Indian Health Program Pharmacy-Grass Valley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chapa-de Indian Health Program Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11670 Atwood Rd
Auburn, CA 95603
Phone (530) 887-2800

1350 E Main St
Grass Valley, CA 95945
Phone (530) 477-8545

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": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1942435946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E MAIN ST",
            "address_2": "PHARMACY DEPT",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455208",
            "telephone_number": "530-477-5968",
            "fax_number": "530-477-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E MAIN ST",
            "address_2": "PHARMACY DEPT",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455208",
            "telephone_number": "530-477-5968",
            "fax_number": "530-477-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPA-DE INDIAN HEALTH PROGRAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-887-2800"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "CA",
            "license": "PHY49917",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942435946",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120323",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chapa-De Indian Health Program Pharmacy-Grass Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.