TAKEMOTO DRUG CO (NPI# 1649260217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649260217 |
| Entity Type | Organization |
| Organization Name | TAKEMOTO DRUG CO |
| Other Organization Name | MAIN DRUG STORE |
| Practice Address |
3685 Taylor Rd Loomis CA 95650 |
| Mailing Address |
Po Box 552 Loomis CA 95650-0552 |
| Practice Telephone | 9166527265 |
| Practice Fax Number | 9166528731 |
| Mailing Telephone | 9166527265 |
| Mailing Fax Number | 9166528731 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2015-03-25 |
| Authorized Official Name | GORDON TAKEMOTO (PRESIDENT) |
| Authorized Official Telephone | 9166527265 |
| Authorized Official Credential | PHARMD |
| 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 |
PHY17086 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA170860 | 05 | |
| OTHER ID NUMBER | 0535003 | 01 |
| Other Name | Type Code |
|---|---|
| MAIN DRUG STORE | Doing Business As Name - Organization |
| Street Address |
3685 TAYLOR RD |
| City | LOOMIS |
| State | CA |
| Zip Code | 95650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629252622 | Kevin Fleming Chiropractic, Inc | Chiropractor | 3621 Taylor Road, Suite A, Loomis, CA 95650 | 2007-12-27 |
| 1316133754 | Leslie Ann Hirschaut | Psychiatry & Neurology | 2499 Humphrey Rd, Loomis, CA 95650 | 2007-09-19 |
| 1356545693 | William J Ryland | Counselor | 5980 Webb Street, Loomis, CA 95650 | 2007-06-12 |
| 1316163462 | Michael Ratliff | Non-emergency Medical Transport (VAN) | 5900 King Rd Ste 209, Loomis, CA 95650 | 2007-04-17 |
| 1366573289 | Peter S. Klem, Od | Optometrist | 3493 Taylor Rd, Loomis, CA 95650 | 2007-03-09 |
| 1245725464 | Koinonia Foster Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3725 Taylor Rd, Loomis, CA 95650 | 2018-06-29 |
| 1538511852 | Allison Lensing | Community Health Worker | 3725 Taylor Rd, Loomis, CA 95650 | 2016-07-11 |
| 1851595938 | Donald Richmond | Counselor | 5980 Webb Street, Loomis, CA 95650 | 2007-06-13 |
| 1770787020 | Koinonia Foster Homes, Inc | Clinic/Center | 5980 Webb Street, Loomis, CA 95650 | 2007-06-12 |
| 1720282080 | William Roberts | Counselor | 5980 Webb Street, Loomis, CA 95650 | 2007-06-12 |
| Find all providers in zip 95650 | ||||
| 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 |
|---|---|---|---|---|
| 1134239890 | Raleys | Pharmacy | 6119 Horseshoe Bar Road, Loomis, CA 95650-8528 | 2006-08-30 |
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| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| 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.