CONSONUS PHARMACY SERVICES CA NORTH LLC (NPI# 1144470931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144470931 |
| Entity Type | Organization |
| Organization Name | CONSONUS PHARMACY SERVICES CA NORTH LLC |
| Other Organization Name | CONSONUS PHARMACY SERVICES CA NORTH LLC |
| Practice Address |
2148 Icon Way Ste 100 Vacaville CA 95688-8803 |
| Mailing Address |
4560 Se International Way Ste 101 Milwaukie OR 97222-4628 |
| Practice Telephone | 8662530048 |
| Practice Fax Number | 5039617781 |
| Mailing Telephone | 9712065205 |
| Mailing Fax Number | 5039617781 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | TAMI LAFLEN (VP OF FINANCE) |
| Authorized Official Telephone | 9712065172 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PH02624 | NV | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
49171 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1144470931 | 05 | |
| PK | 2117169 | 01 |
| Other Name | Type Code |
|---|---|
| Consonus Pharmacy Services CA North LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CONSONUS PHARMACY SERVICES CA NORTH LLC | 2148 Icon Way, Ste #100, Vacaville, CA 95688 |
| Street Address |
2148 ICON WAY STE 100 |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95688-8803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184289498 | Timmeda Morrah | Pharmacist | 2148 Icon Way Ste 100, Vacaville, CA 95688-8803 | 2019-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917165 | Katelyn Renee Watson | Military Health Care Provider | 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 | 2020-06-23 |
| 1043842917 | Dr. Page Hudson Dental Corporation | Dentist | 1671 East Monte Vista Ave, Suite 200, Vacaville, CA 95688 | 2020-02-10 |
| 1356981534 | Demi Renae Holder | Behavior Technician | 6801 Leisure Town Rd Apt. 153, Vacaville, CA 95688 | 2020-01-15 |
| 1073089074 | Sukhdeep Kaur | Nurse Practitioner | 679 E Monte Vista Ave #140, Vacaville, CA 95688 | 2018-10-17 |
| 1114419553 | Sharlie Mccurry | Behavior Technician | 3333 Vaca Valley Pkwy, Suite 900, Vacaville, CA 95688 | 2018-06-01 |
| 1720577307 | Ana Lynch | Behavioral Analyst | 250 Grape St, Vacaville, CA 95688 | 2018-05-09 |
| 1508382011 | Esther's Empowerment Leadership Institute, LLC | Health Educator | 227 Fairoaks Drive, Vacaville, CA 95688 | 2017-08-16 |
| 1023534807 | Jean Allyson Garcia | Counselor | 1286 Callen Street, Vacaville, CA 95688 | 2017-08-14 |
| 1437692043 | Ahmed Abdi Ali | Pharmacist | 1 Quality Drive, Mob-b 1st Flr, 24 Hrs Pharmacy, Vacaville, CA 95688 | 2016-11-30 |
| 1275961807 | Laura Hitt | Dietitian, Registered | 107 Blackwood Ct, Vacaville, CA 95688 | 2013-10-16 |
| Find all providers in zip 95688 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508465873 | Nskape Inc | Pharmacy | 6780 Indiana Ave Ste 145, Riverside, CA 92506-4270 | 2020-10-19 |
| 1770193641 | 986 Specialty Pharmacy Pasadena Inc | Pharmacy | 1719 E Walnut St, Pasadena, CA 91106-1611 | 2020-08-05 |
| 1356951370 | Valley Scripts | Pharmacy | 1150 W Robinhood Dr Ste 2b, Stockton, CA 95207-5630 | 2020-08-04 |
| 1518585587 | Asr Health Inc. | Pharmacy | 12677 Hesperia Rd Ste 180, Victorville, CA 92395-7754 | 2020-07-07 |
| 1619594660 | Burts Specialty Pharmacy | Pharmacy | 2628 Conejo Center Dr, Thousand Oaks, CA 91320-1407 | 2020-06-25 |
| 1972128676 | Maggie's Pharmacy Inc | Pharmacy | 2315 Kuehner Dr Ste 108, Simi Valley, CA 93063-3960 | 2020-06-09 |
| 1629604368 | Jafa Pharmaceuticals, Inc. | Pharmacy | 95 Montgomery Dr Ste 108, Santa Rosa, CA 95404-6617 | 2020-03-13 |
| 1669019113 | Shanzo Inc | Pharmacy | 6255 University Ave Ste A1, San Diego, CA 92115-5727 | 2019-12-03 |
| 1265077283 | Western Pharmacy Group LLC | Pharmacy | 610 Gateway Center Way Ste H-i, San Diego, CA 92102-4533 | 2019-11-13 |
| 1083255129 | Desert Best Pharmacy, Inc. | Pharmacy | 170 E Tahquitz Canyon Way, Palm Springs, CA 92262-6431 | 2019-09-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CONSONUS PHARMACY SERVICES CA NORTH LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.