Healthcare Provider Details
I. General information
NPI: 1851470702
Provider Name (Legal Business Name): AMERICARE PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2101 STONE BLVD # 100
WEST SACRAMENTO CA
95691-4044
US
IV. Provider business mailing address
2101 STONE BLVD # 100
WEST SACRAMENTO CA
95691-4044
US
V. Phone/Fax
- Phone: 916-372-8886
- Fax: 916-372-8885
- Phone: 916-372-8886
- Fax: 916-372-8885
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | H 145299 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PHY 46974 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
BRENT
Q.
LUU
Title or Position: VICE PRESIDENT
Credential: PHARM.D.
Phone: 916-372-8886