=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114031002
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PHARM MED SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2129 HACIENDA WAY STE J
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95825-0362
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-487-4488
-----------------------------------------------------
Fax | 916-487-7794
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2129 HACIENDA WAY STE J
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95825-0362
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | RPH
-----------------------------------------------------
Name | JANIS ONG
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 916-487-4488
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | PHY43141
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------