ZINFANDEL PHARMACY INC (NPI# 1730185828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730185828 |
| Entity Type | Organization |
| Organization Name | ZINFANDEL PHARMACY INC |
| Practice Address |
1995 Zinfandel Dr Ste 101 Rancho Cordova CA 95670-2862 |
| Practice Telephone | 9166314440 |
| Practice Fax Number | 9166351024 |
| Mailing Telephone | 9166314440 |
| Mailing Fax Number | 9166351024 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KIM N. PHAM (PHARMACIST) |
| Authorized Official Telephone | 9166314440 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | PHY46527 | CA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA308967 | 05 |
| Street Address |
1995 ZINFANDEL DR STE 101 |
| City | RANCHO CORDOVA |
| State | CA |
| Zip Code | 95670-2862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669881835 | Tri Star Holding Pharmacy Inc | Pharmacy | 1995 Zinfandel Dr, Suite 101, Rancho Cordova, CA 95670-2862 | 2014-08-12 |
| 1811333669 | Haesun Han | Physical Therapist | 1995 Zinfandel Dr, Suite 205, Rancho Cordova, CA 95670-2862 | 2013-05-21 |
| 1568808475 | Sabina Sampath | Physician Assistant | 1995 Zinfandel Dr, Rancho Cordova, CA 95670-2862 | 2013-05-18 |
| 1942546478 | Lynne Heimann Hurley | Nurse Practitioner | 1995 Zinfandel Dr, Suite #201, Rancho Cordova, CA 95670-2862 | 2013-01-03 |
| 1164785671 | Olga Petlinska | Physician Assistant | 1995 Zinfandel Dr, Suite 201, Rancho Cordova, CA 95670-2862 | 2012-06-19 |
| 1538294822 | Kali S Eswaran Md Inc | Internal Medicine | 1995 Zinfandel Dr, 201, Rancho Cordova, CA 95670-2862 | 2007-02-23 |
| 1376685925 | Harry Robert Becker | Specialist | 1995 Zinfandel Dr, Suite 106, Rancho Cordova, CA 95670-2862 | 2007-02-12 |
| 1861438962 | Obryan Company Inc | Pharmacy | 1995 Zinfandel Dr, Ste 101, Rancho Cordova, CA 95670-2862 | 2006-06-20 |
| 1659316834 | Kathleen Therese Schneiderman | Pediatrics | 1995 Zinfandel Dr, #105, Rancho Cordova, CA 95670 | 2006-06-19 |
| 1962453902 | Dora Elva Rodriguez | Physician Assistant | 1995 Zinfandel Dr, Suite 105, Rancho Cordova, CA 95670-2862 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297640 | Blue Angels Trans LLC | Non-emergency Medical Transport (VAN) | 11082 Coloma Rd. Suite #10, Rancho Cordova, CA 95670 | 2020-05-26 |
| 1104452796 | Stephanie Lynn Miller | Registered Nurse | 10850 Golden Center Drive, Rancho Cordova, CA 95670 | 2020-03-16 |
| 1174165948 | Sacramento County Office of Education | Clinic/Center | Mitchell Middle School/folsom-cordova Unified School Di, 2100 Zinfandel Drive, School Counseling Office, Rancho Cordova, CA 95670 | 2019-10-14 |
| 1700364353 | Kavneet Bindra | Dentist | 3191 Zinfandel Dr Ste 21, Rancho Cordova, CA 95670 | 2018-08-04 |
| 1487172029 | Monica Jackson | Registered Nurse | 3235 Gosport Way, Rancho Cordova, CA 95670 | 2017-09-05 |
| 1710408422 | Noemi Colmenares | Specialist/Technologist | 11100 Coloma Rd., Rancho Cordova, CA 95670 | 2017-07-03 |
| 1245779552 | Kristin Lyn Kaminski-wadle | Student in an Organized Health Care Education/Training Program | 11344 Coloma Rd Ste 515, Gold River, CA 95670 | 2017-02-20 |
| 1801331822 | Margrette Elaine Townsend | Counselor | 2379 Stone River Ct, Gold River, CA 95670 | 2016-12-29 |
| 1164889572 | Jose H Macaspac Iv | Physical Therapist | 12155 Tributary Point Dr Apt 124, Rancho Cordova, CA 95670 | 2016-01-15 |
| 1972971620 | Harry James Buzbuzian Jr. | General Practice | 11345 Gold Country Blvd, Gold River, CA 95670 | 2015-09-11 |
| Find all providers in zip 95670 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1427516681 | Klifford T Kapus Dds., Msd A Dental Corporation | Point of Service | 4200 East Ave Ste 100, Livermore, CA 94550-4945 | 2019-03-06 |
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| 1417432246 | Access Multilingual Services, Inc. | Point of Service | 11041 Santa Monica Blvd, #813, Los Angeles, CA 90025-3523 | 2018-09-27 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO CORDOVA |
| Zip Code | 95670 |
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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.