Organization
TAKEMOTO DRUG CO
Active
Organization
TAKEMOTO DRUG CO
Active
Other names
MAIN DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON TAKEMOTO PHARMD (PRESIDENT)
(916) 652-7265
Entity
Organization
Contact information
Practice address
3685 TAYLOR RD, LOOMIS, CA 95650
(916) 652-7265
(916) 652-8731
Mailing address
PO BOX 552, LOOMIS, CA 95650-0552
(916) 652-7265
(916) 652-8731
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY17086
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0535003
OTHER ID NUMBER
—
05
—
PHA170860
—
CA
Enumeration date
10/25/2005
Last updated
03/25/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up