Sunrise Medical Pharmacy

LBN: Sunrise Medical Pharmacy
Sunrise Medical Pharmacy is an health care organization with primary practice located at 1000 Sunrise Ave Ste 1A, Roseville CA 95661-7005. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sunrise Medical Pharmacy can be contacted via phone (916) 782-3137, or through Bunse, Jim via phone (916) 782-3137.

Contact Information

Primary practice address
1000 Sunrise Ave Ste 1A Roseville CA 95661-7005
Fax: (916) 782-3111
Website:
Authorized official contact:
Name: Bunse, Jim

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 021562 California
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1841255429
LBN Legal business name Sunrise Medical Pharmacy
DBA Doing business as
Authorized official Bunse, Jim
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 19th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841255429 NPPES
Other 0578166 OTHER ID NUMBER
Other 0578166 OTHER ID NUMBER
MEDICAID PHA413920 OTHER ID NUMBER

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