TIMBERLAKE PHARMACY, INC. (NPI# 1346499621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346499621 |
| Entity Type | Organization |
| Organization Name | TIMBERLAKE PHARMACY, INC. |
| Other Organization Name | TIMBERLAKE PHARMACY |
| Practice Address |
8120 Timberlake Way Ste 108 Sacramento CA 95823-5413 |
| Mailing Address |
8120 Timberlake Way Suite 108 Sacramento CA 95823-5412 |
| Practice Telephone | 9167602470 |
| Practice Fax Number | 9166825950 |
| Mailing Telephone | 9167602470 |
| Mailing Fax Number | 9166825950 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | STEFANIE LE (OWNER) |
| Authorized Official Telephone | 9167602470 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY55841 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2117351 | 01 | |
| CA | 800245216 | 05 |
| Other Name | Type Code |
|---|---|
| Timberlake Pharmacy | Doing Business As Name - Organization |
| Street Address |
8120 TIMBERLAKE WAY STE 108 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-5413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180939 | Sac City Md | Family Medicine | 8120 Timberlake Way Ste 108, Sacramento, CA 95823-5413 | 2020-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| 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 |
|---|---|---|---|---|
| 1811517535 | Natomas Pharmacy, Inc. | Pharmacy | 4321 Truxel Rd Ste F1, Sacramento, CA 95834-3753 | 2020-04-22 |
| 1124647011 | Innova Pharmacy II | Pharmacy | 3701 J St Ste 101, Sacramento, CA 95816-5542 | 2020-04-11 |
| 1225667181 | Raley's | Pharmacy | 4690 Freeport Blvd, Sacramento, CA 95822 | 2020-04-03 |
| 1740820133 | Innova Pharmacy IIi | Pharmacy | 2400 Glendale Ln Ste A, Sacramento, CA 95825-2431 | 2020-01-14 |
| 1154962967 | Pillbox, Inc. | Pharmacy | 3941 J St Ste 130, Sacramento, CA 95819-3628 | 2019-10-02 |
| 1942869656 | Hoang Pharmacy Inc. | Pharmacy | 8701 Center Pkwy Ste 150, Sacramento, CA 95823-7920 | 2019-06-07 |
| 1104380252 | Ahcs Specialty Care LLC | Pharmacy | 1820 Tribute Rd Ste G, Sacramento, CA 95815-4307 | 2019-01-23 |
| 1689125403 | Xpress Care Pharmacy | Pharmacy | 4241 Florin Rd Ste 50a, Sacramento, CA 95823-2535 | 2016-10-17 |
| 1275987885 | Good Heart Pharmacists | Pharmacy | 1740 Fruitridge Rd # 104, Sacramento, CA 95822-3067 | 2016-04-20 |
| 1619273687 | Capitol Pharmacy Inc | Pharmacy | 4220 Florin Rd # 111, Sacramento, CA 95823-2508 | 2011-02-08 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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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.