Walnut Creek RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WALNUT CREEK RX LLC

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

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 Anne

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

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
• Walnut Creek Optometry Group
• Walnut Creek Orthopedics and Sports Medicine, Professional Corporation
• Walnut Creek Pediatric Medical GRP
• Walnut Creek RX LLC
• 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.