ZINFANDEL PHARMACY INC NPI 1730185828

NPI Information

  • NPI: 1730185828
  • Provider Name: ZINFANDEL PHARMACY INC
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 1995 ZINFANDEL DR
    STE 101
    RANCHO CORDOVA, CA
    ZIP 95670
  • Phone: (916) 631-4440

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NPI Details

ZINFANDEL PHARMACY INC is a point of service in Rancho Cordova, CA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. ZINFANDEL PHARMACY INC NPI is 1730185828. The provider is registered as an organization entity type.

The provider's business location address is:

1995 ZINFANDEL DR
STE 101
RANCHO CORDOVA, CA
ZIP 95670-862
Phone: (916) 631-4440
Fax: (916) 635-1024

The provider's authorized official is Kim N. Pham .
The authorized official title is Pharmacist and has the following contact phone number (916) 631-4440.

The enumeration date for this NPI number is 6/22/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of ServicePHY46527CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PHA308967MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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