OrganizationActive
Elevation Family Pharmacy Inc
NPI 1508399460 · Clinic Pharmacy · El Dorado Hills, CA
Provider details
- NPI number
- 1508399460
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Andrew Cannon, Owner/President(801) 633-7974
Specialties & taxonomies
Suppliers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5080 Robert J Mathews Pkwy Ste 170
El Dorado Hills, CA 95762-5702
Phone: (833) 626-1480
Street-level locationGet directions
Mailing address
526 Shoup Ave W Ste K
Twin Falls, ID 83301-5050
Other names (DBA / former)
- Doing business as
- Winona Pharmacy
Registry dates
- Enumerated
- 2017-04-07
- Last updated
- 2022-12-27
- Certified
- 2022-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.