ODEDRA ENTERPRISES, INC. (NPI# 1174677827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174677827 |
| Entity Type | Organization |
| Organization Name | ODEDRA ENTERPRISES, INC. |
| Other Organization Name | CRYSTAL MEDICAL CENTER PHARMACY |
| Practice Address |
2809 Olive Hwy Suite 160 Oroville CA 95966-6131 |
| Practice Telephone | 5305331545 |
| Practice Fax Number | 5305335963 |
| Mailing Telephone | 5305331545 |
| Mailing Fax Number | 5305335963 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | BETTY L RIDDLE (OFFICE MANAGER) |
| Authorized Official Telephone | 5305881325 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282E00000X | Long Term Care Hospital | Hospitals | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY53577 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 461990 | 05 | |
| PK | 2157440 | 01 |
| Other Name | Type Code |
|---|---|
| Crystal Medical Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766282 | Odedra Enterprises, Inc. | Long Term Care Hospital | 2809 Olive Hwy Ste 160, Oroville, CA 95966-6133 | 2019-08-22 |
| 1477151579 | Odedra Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2809 Olive Hwy Ste 160, Oroville, CA 95966-6133 | 2020-10-12 |
| Street Address |
2809 OLIVE HWY SUITE 160 |
| City | OROVILLE |
| State | CA |
| Zip Code | 95966-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637744 | Sultan Chopan | Family Medicine | 2809 Olive Hwy, Ste 380, Oroville, CA 95966-6136 | 2005-05-27 |
| 1417480468 | Neal Spiva | General Practice | 2809 Olive Hwy, Oroville, CA 95966-6131 | 2017-04-06 |
| 1154790905 | Oroville Hospital | General Acute Care Hospital | 2809 Olive Hwy, Suite 140, Oroville, CA 95966-6131 | 2015-09-23 |
| 1760872162 | Angela Lynn Bushey | Nurse Practitioner | 2809 Olive Hwy, Suite 210, Oroville, CA 95966-6131 | 2015-01-23 |
| 1063858587 | Oroville Hospital | Ophthalmology | 2809 Olive Hwy, Ste 250, Oroville, CA 95966-6131 | 2013-05-13 |
| 1194060913 | M. Robert Ching, M.d., Inc. | Orthopaedic Surgery | 2809 Olive Hwy, Suite 230, Oroville, CA 95966-6131 | 2012-12-05 |
| 1275803801 | Oroville Hospital | Clinic/Center | 2809 Olive Hwy, Suite 350, Oroville, CA 95966-6131 | 2012-01-12 |
| 1891065421 | Oroville Hospital | Clinic/Center | 2809 Olive Hwy, Suite 260, Oroville, CA 95966-6131 | 2012-01-12 |
| 1962722850 | Ravi Nagubandi | Surgery | 2809 Olive Hwy, Oroville, CA 95966-6131 | 2010-06-02 |
| 1972761815 | Eric Rodman Stevens | Ophthalmology | 2809 Olive Hwy, Ste 250, Oroville, CA 95966-6131 | 2008-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| 1467001230 | Elijah House, Los Molinos | Substance Abuse Rehabilitation Facility | 7904 Hwy 99e, Oroville, CA 95966 | 2019-09-05 |
| 1689180838 | Jessica Dawn Legg | Registered Nurse | 120 Kokanee Drive, Oroville, CA 95966 | 2017-12-26 |
| 1992220198 | Vanesa Kim Van Tran I | Counselor | 24 Pleasant Oak Lane, Oroville, CA 95966 | 2017-08-08 |
| 1861930919 | Addiction Counseling and Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 1749 Boynton Avenue, Oroville, CA 95966 | 2017-02-09 |
| 1790181519 | Tyra Graham | Counselor | 6590 Upper Palermo Rd., Oroville, CA 95966 | 2014-11-05 |
| 1568710747 | Tri County Treatment | Substance Abuse Rehabilitation Facility | 2740 Oro Dam Blvd, Oroville, CA 95966 | 2012-08-21 |
| 1255690079 | Country Crest, LLC | Skilled Nursing Facility | 50 Concordia Lane, Oroville, CA 95966 | 2012-05-14 |
| 1710140454 | Brandi Halsted | Social Worker | 2145 Fifth Ave, Oroville, CA 95966 | 2008-07-02 |
| 1336308360 | Geraldine Grace Cummings | Licensed Vocational Nurse | 439 Dunstone Drive, Oroville, CA 95966 | 2008-06-05 |
| Find all providers in zip 95966 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1255441929 | Raleys | Pharmacy | 2325 Myers St, Oroville, CA 95966-5334 | 2006-08-30 |
| 1316989726 | Robert's Drug Store, Inc | Pharmacy | 3010 Myers St, Oroville, CA 95966-5940 | 2006-06-11 |
| 1467880583 | Oroville Hospital | Pharmacy | 2450 Oro Dam Blvd E, Suite B, Oroville, CA 95966-6052 | 2013-10-29 |
| 1619910494 | Olive Pharmacy, Inc | Pharmacy | 2721 Olive Hwy, Oroville, CA 95966-6115 | 2006-06-13 |
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| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
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| 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.