NPIMap

Organization Active NPI

California State University, Sacramento

  • Clinic Pharmacy
  • Sacramento, CA
National Provider Identifier
1972524924
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PHE17371 Issued in CA
Legal business name
CALIFORNIA STATE UNIVERSITY, SACRAMENTO
Practice address
6000 J St FL 1
The Well
Sacramento, CA 95819-2605
Phone
(916) 278-6040
Fax
(916) 278-6046
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Joy Stewart-James, PHARMD
Title
Executive Director
Phone
(916) 278-6049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PHE17371 CA Primary

Addresses

Primary practice location

6000 J St FL 1
The Well
Sacramento, CA 95819-2605

Mailing address

6000 J St FL 1
The Well
Sacramento, CA 95819-2605
Phone (916) 278-6040

Other identifiers 2

IdentifierTypeStateIssuer
1997199OtherPK
PHB173710MedicaidCA

Other names 1

  • Sacramento State Student Health Services Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
California State University Sacramento Student Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

6000 J St
Fl 1
Sacramento, CA 95819
Phone (916) 278-6040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1972524924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 J ST FL 1",
            "address_2": "THE WELL",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192605",
            "telephone_number": "916-278-6040",
            "fax_number": "916-278-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 J ST FL 1",
            "address_2": "THE WELL",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192605",
            "telephone_number": "916-278-6040",
            "fax_number": "916-278-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA STATE UNIVERSITY, SACRAMENTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "STEWART-JAMES",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-278-6049",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CA",
            "license": "PHE17371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1997199",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHB173710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacramento State Student Health Services Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.