Provider Demographics
NPI:1962894709
Name:STAR SCRIPTS INC
Entity type:Organization
Organization Name:STAR SCRIPTS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT,PIC,AO
Authorized Official - Prefix:
Authorized Official - First Name:HARPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:916-575-7827
Mailing Address - Street 1:2087 ARENA BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2323
Mailing Address - Country:US
Mailing Address - Phone:916-575-7827
Mailing Address - Fax:916-575-8810
Practice Address - Street 1:2087 ARENA BLVD STE 160
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2323
Practice Address - Country:US
Practice Address - Phone:916-575-7827
Practice Address - Fax:916-575-8810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-03
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CA533503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1962894709Medicaid
2150620OtherPK
7555460001Medicare NSC