COLFAX DRUG COMPANY, LLC (NPI# 1518262898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518262898 |
| Entity Type | Organization |
| Organization Name | COLFAX DRUG COMPANY, LLC |
| Other Organization Name | SIERRA MARKET PHARMACY |
| Practice Address |
9 Depot St. #5 Colfax CA 95713 |
| Mailing Address |
6089 Big Bend Dr. Roseville CA 95678 |
| Practice Telephone | 9162985498 |
| Mailing Telephone | 9162985498 |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | MR. AENEAS CHANCE (PHARMACIST/OWNER) |
| Authorized Official Telephone | 9162985498 |
| Authorized Official Credential | PHARM.D./OWNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | Pharmacy Service Providers | ||
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacy Service Providers |
| Other Name | Type Code |
|---|---|
| Sierra Market Pharmacy | Doing Business As Name - Organization |
| Street Address |
9 DEPOT ST. #5 |
| City | COLFAX |
| State | CA |
| Zip Code | 95713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891319695 | Mountain Side Behavioral Health | Counselor | 1033 South Drive, Colfax, CA 95713 | 2020-06-08 |
| 1174774178 | Laurie E. Thompson | Counselor | 500 Crown Point Cir. Ste 100, Grass Valley, CA 95713 | 2008-10-08 |
| 1669588091 | Paula Suzanne Dwelly | Marriage & Family Therapist | 21520 Canyon Way, Colfax, CA 95713 | 2006-08-21 |
| 1396779930 | Kurtis H Fox | Family Medicine | 101 W. Grass Valley St, Colfax, CA 95713 | 2006-07-10 |
| 1700858743 | Ryan Grandpre | Dentist | 120 Whitcomb Ave, Colfax, CA 95713 | 2006-02-03 |
| 1952851701 | Ruth Ross | Registered Nurse | 21475 Canyon Way, Colfax, CA 95713-0001 | 2016-10-05 |
| 1649485145 | Danny E Zendner | Dentist | 120 Whitcomb Ave, Colfax, CA 95713-1080 | 2007-05-10 |
| 1891900312 | Chad Eric Jensen | Dentist | 120 Whitcomb Ave, Colfax, CA 95713-1080 | 2007-05-10 |
| 1760600035 | Dawn M Anderson | Dentist | 33 E. Grass Valley St., Colfax, CA 95713-1300 | 2007-04-23 |
| 1568669414 | Aeneas Chance | Pharmacist | 9 Depot St Unit 5, Colfax, CA 95713-1390 | 2007-07-02 |
| Find all providers in zip 95713 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
| 1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
| 1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
| 1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
| 1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
| 1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
| 1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
| 1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
| 1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
| 1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
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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.