Provider Demographics
NPI:1558422154
Name:ROBINSON'S PHARMACY & MEDICAL SUPPLIES, INC.
Entity Type:Organization
Organization Name:ROBINSON'S PHARMACY & MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-622-3186
Mailing Address - Street 1:359 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667
Mailing Address - Country:US
Mailing Address - Phone:530-622-3186
Mailing Address - Fax:530-622-5826
Practice Address - Street 1:359 MAIN STREET
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667
Practice Address - Country:US
Practice Address - Phone:530-622-3186
Practice Address - Fax:530-622-5826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY455673336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0540927OtherNCPDP FOR PHARMACY
CAPHA455670Medicaid
CAPHA455670Medicaid
CA0243410002Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER