Consonus Pharmacy Services CA North LLC – Long Term Care Pharmacy, NPI 1144470931
Long Term Care Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Consonus Pharmacy Services CA North LLC
Southeast International Way, Milwaukie, Metro, Clackamas County, Oregon, 97222, United States
MILWAUKIE, OR 972224628
Phone: (971) 206-5205
Fax: (503) 961-7781
Type: Mailing
Icon Way, Vacaville, Solano County, California, 95688, United States
VACAVILLE, CA 956888803
Phone: (866) 253-0048
Fax: (503) 961-7781
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-11-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (282 days ago).
Enrollment records
2
Earliest due date
2025-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100930071950 | O | Pharmacy | CA | 2025-08-31 |
| O20201103002067 | O | Mass Immunization (Roster Biller Only) | CA | 2026-04-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 0124A | Adm sarscv2 bvl 30mcg/.3ml a | 109 | 108 | $0 |
Insurance plans in this area (ZIP 97222)
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