Provider Demographics
NPI:1790305530
Name:COMPUTER CONSUMER INC
Entity Type:Organization
Organization Name:COMPUTER CONSUMER INC
Other - Org Name:CASTATEHOSPITAL.NET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHNATHON
Authorized Official - Middle Name:KINGSLEY
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-676-5491
Mailing Address - Street 1:5865 CASA GRANDE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-2668
Mailing Address - Country:US
Mailing Address - Phone:916-676-5491
Mailing Address - Fax:
Practice Address - Street 1:5865 CASA GRANDE AVE
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-2668
Practice Address - Country:US
Practice Address - Phone:916-676-5491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-22
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
No282J00000XHospitalsReligious Nonmedical Health Care Institution
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No332H00000XSuppliersEyewear Supplier
No333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336M0003XSuppliersPharmacyManaged Care Organization Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy