Walnut Creek RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WALNUT CREEK RX LLC

Doing business as

QD Pharmacy

Practice address

112 La Casa Via Ste 100
Walnut Creek, CA 94598-3016

Phone

(925) 939-6311

Fax

(925) 939-5639

NPI assigned

Jun 6, 2019

Last updated

May 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Pratap K AnneNPI 1699911412

Title

Pharmacy Director

Phone

(209) 298-1715

Specialties & licenses 1

Addresses

Other names 1

• QD Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Pratap Krishna Anne, RPH

  • Pharmacist
  • Stockton, CA
  • NPI 1699911412
  Authorized official Same address or phone

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1962061648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LA CASA VIA STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983016",
            "telephone_number": "925-939-6311",
            "fax_number": "925-939-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LA CASA VIA STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983016",
            "telephone_number": "925-939-6311",
            "fax_number": "925-939-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT CREEK RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "ANNE",
        "authorized_official_first_name": "PRATAP",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "209-298-1715",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QD Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "QD Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walnut Creek Optical
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• Walnut Creek Pediatric Medical GRP
• Walnut Creek RX LLC (Qd Pharmacy)
• Walnut Creek Surgery Center LLC
• Walnut Creek Surgical Assoicates, Inc
• Walnut Creek Urgent Care
• Walnut Creek Wellness Center
• Walnut Creek Willows

• Community/Retail Pharmacy in Walnut Creek, CA
• Providers in Walnut Creek, 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 May 25, 2023; 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.