MEDICARE: TAI HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	3336H0001X	Home Infusion Therapy Pharmacy

General Provider Information

NPI Number	:	1285566695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAI HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	2411 8TH AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95818-4448
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9412 BIG HORN BLVD STE 5
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95758-1101
Country	:	US
Telephone Number	:	209-918-1450
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID VERMEULEN
Credential	:
Telephone Number	:	209-918-1450

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “TAI HEALTHCARE LLC ” Practice Location

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