SACRAMENTO MED PARK PHARMACY
NPI 1902961329
Pharmacy - Community/Retail Pharmacy in Sacramento, CA

Q: What is Raymond Y Fat's NPI number?

The NPI number for Raymond Y Fat is 1902961329. It was assigned to this organization in the NPPES registry on December 26, 2006. The provider is doing business as Sacramento Med Park Pharmacy.

Q: What is Raymond Y Fat's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Raymond Y Fat was last updated on April 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 26, 2006

5270 ELVAS AVE, STE D, SACRAMENTO, CA 95819(916) 739-1513(916) 739-6674 Get Directions Write a Review

NPPES record last updated: April 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sacramento Med Park Pharmacy NPPES

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

SACRAMENTO MED PARK PHARMACY (NPI 1902961329) is a healthcare organization registered as a community/retail pharmacy in Sacramento, California and active in the NPI registry since December 2006. The organization lists Raymond Fat, Pharm, as its authorized official.

NPPES Registry Identity

NPI1902961329

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameRAYMOND Y FAT

Location Address5270 ELVAS AVE, STE DSacramento, CA 95819-2332

Mailing Address5270 Elvas Ave, Ste DSacramento, CA 95819-2332 · (916) 739-1513 · Fax (916) 739-6674

Phone(916) 739-1513

Fax(916) 739-6674

Organization SubpartNo

Authorized OfficialRaymond FatPharm · (916) 739-1513

Enumeration DateDecember 26, 2006

Last NPPES UpdateApril 6, 2010

✔ NPI 1902961329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in CA · PHY34910

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X

5270 ELVAS AVE, Sacramento, CA 95819

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Other Names 1

Doing Business AsSacramento Med Park Pharmacy

Other Identifiers 2

Other0591859Ncpdp Provider Identification Number

MedicaidPHA34910ACA

Other Providers at the Same Location NPPES 19

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

EUNJI JUN

Occupational Therapist (Pediatrics)