IMGRX SALUD INC (NPI# 1700246360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700246360 |
| Entity Type | Organization |
| Organization Name | IMGRX SALUD INC |
| Other Organization Name | SALUD CLINIC PHARMACY |
| Practice Address |
500 Jefferson Blvd Ste 181b West Sacramento CA 95605-2350 |
| Mailing Address |
1330 Enclave Pkwy Houston TX 77077-2577 |
| Practice Telephone | 9164032988 |
| Practice Fax Number | 9164032985 |
| Mailing Telephone | 2817494000 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | MR. MICHAEL BROWN (VP MANAGED SERVICES) |
| Authorized Official Telephone | 2817494764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
54287 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1700246360 | 05 | |
| PK | 2158303 | 01 |
| Other Name | Type Code |
|---|---|
| Salud Clinic Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669829628 | Imgrx Salud Inc | Pharmacy | 3100 Ponte Morino Dr Ste 120, Cameron Park, CA 95682-7450 | 2016-05-19 |
| Street Address |
500 JEFFERSON BLVD STE 181B |
| City | WEST SACRAMENTO |
| State | CA |
| Zip Code | 95605-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551502 | Bridgecare Solutions Are LLC | Nurse Practitioner | 612 Watercolor Lane, West Sacramento, CA 95605 | 2020-06-02 |
| 1104316413 | West Sacramento Nursing and Rehabilitation Center | Nursing Facility/Intermediate Care Facility | 751 Elm Street, West Sacramento, CA 95605 | 2018-05-11 |
| 1760735336 | Kaplan Alexander Dental Corporation | Dentist | 759 Ikea Ct, 110, West Sacramento, CA 95605 | 2012-10-19 |
| 1558616912 | David Anthony Cardenas | Counselor | 540 Kegle Dr, Sacrament, CA 95605 | 2012-07-20 |
| 1124304811 | Marc Aaron Scharbrough | Social Worker | 500 Jefferson Blvd #b150, West Sacramento, CA 95605 | 2011-10-26 |
| 1750663308 | Alexandra Gabrielle Garton | Marriage & Family Therapist | 500b Jefferson Blvd., Suite 195, West Sacramento, CA 95605 | 2011-09-09 |
| 1891093902 | Tegwin Millard | Counselor | 500b Jefferson Blvd Ste 195, West Sacramento, CA 95605 | 2011-03-14 |
| 1962639005 | Beverley Elizabeth Calderone | Psychologist | 500-b Jefferson Boulevard, Suite 150, West Sacramento, CA 95605 | 2009-06-16 |
| 1164671616 | Lien Pham Xi | Marriage & Family Therapist | 500 Jefferson Blvd Ste B, West Sacramento, CA 95605 | 2008-09-09 |
| 1497968960 | Holly Lenore Smith | Registered Nurse | Yolo County Health Dept., 500 B Jefferson Blvd., Suite 170, West Sacramento, CA 95605 | 2007-05-08 |
| Find all providers in zip 95605 | ||||
| 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] |
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| 1083887095 | Raleys | Pharmacy | 500 W Capitol Ave, West Sacramento, CA 95605-2624 | 2008-04-10 |
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| 1700059722 | Bel Air Market Inc | Pharmacy | 500 W Capitol Ave, West Sacramento, CA 95605-2624 | 2008-04-10 |
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| City | WEST SACRAMENTO |
| Zip Code | 95605 |
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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.