SHINGLE SPRINGS RANCHERIA
NPI 1710423793
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Placerville, CA

Q: What is Shingle Springs Rancheria's NPI number?

The NPI number for Shingle Springs Rancheria is 1710423793. It was assigned to this organization in the NPPES registry on January 13, 2017. The provider is doing business as Shingle Springs Health and Wellness Center.

Q: What is Shingle Springs Rancheria's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

Active since January 13, 2017

5168 HONPIE RD, 5TH FLOOR, PLACERVILLE, CA 95667(530) 387-8215(530) 676-4416 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, Apr 23, 2018 and 4 more (7 updates tracked since 2017).

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About Shingle Springs Rancheria NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHINGLE SPRINGS RANCHERIA (NPI 1710423793), doing business as Shingle Springs Health And Wellness Center, is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Placerville, California and active in the NPI registry since January 2017. The organization lists John Bodtker, Director Of Pharmacy/pic/ao, as its authorized official.

NPPES Registry Identity

NPI1710423793

Entity TypeOrganization

Primary Taxonomy332800000X

Legal Business NameSHINGLE SPRINGS RANCHERIA

Location Address5168 HONPIE RD, 5TH FLOORPlacerville, CA 95667-8682

Mailing Address5168 Honpie Rd, 5th FloorPlacerville, CA 95667-8682 · (530) 387-8005 · Fax (530) 387-8006

Phone(530) 387-8215

Fax(530) 676-4416

Organization SubpartNo

Authorized OfficialJohn BodtkerDirector Of Pharmacy/pic/ao · (530) 387-8005

Enumeration DateJanuary 13, 2017

Last NPPES UpdateSeptember 19, 20257 updates tracked since enumeration

✔ NPI 1710423793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers

Taxonomy Code332800000X

License✔ Licensed in CA · PHY55274

Definition

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

5168 HONPIE RD, Placerville, CA 95667

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Other Names 1

Doing Business AsShingle Springs Health And Wellness Center

Other Identifiers 2

Medicaid1710423793CA

Other2167303Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA SCHANK M.D.

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