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Shingle Springs Rancheria

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Placerville, CA · enumerated 2017 · authorized official John Bodtker, Director of Pharmacy/Pic/Ao.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710423793

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Registry record

Entity type Organization (Type 2)
Legal business name Shingle Springs Rancheria
Other name <Unavail>
Practice address 5168 Honpie Rd, 5th Floor, Placerville, CA, 95667
Fax (530) 676-4416
Enumeration date Jan 13, 2017
Last updated in NPPES Sep 19, 2025

Taxonomy & classification

332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers · License PHY55274 (CA) Primary
333600000X Pharmacy Suppliers Secondary
3336C0002X Clinic Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name John Bodtker
Title Director of Pharmacy/Pic/Ao

Other identifiers

Identifier Type State Issuer
1710423793 Medicaid CA -
2167303 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Shingle Springs Rancheria?
Shingle Springs Rancheria is registered in NPPES as a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-19.