Organization
PSR WELLNESS LLC
Active
Organization
PSR WELLNESS LLC
Active
Other names
SILVERADO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PRATAP K ANNE (PHARMACY DIRECTOR)
(209) 298-1715
Entity
Organization
Contact information
Practice address
1473 - D LINCOLN AVENUE, CALISTOGA, CA 94515-1479
(707) 942-5115
(707) 942-2175
Mailing address
1473 - D LINCOLN AVENUE, CALISTOGA, CA 94515-1479
(209) 298-1715
(559) 369-2408
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY47475
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700946936
—
CA
01
—
2033136
PK
—
Enumeration date
12/11/2006
Last updated
03/20/2025
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