Provider Demographics
NPI:1063383222
Name:APOTHECARY ENERGY LLC
Entity type:Organization
Organization Name:APOTHECARY ENERGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/STRATEGIST
Authorized Official - Prefix:
Authorized Official - First Name:ALISIA
Authorized Official - Middle Name:ANTONETTE
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:916-296-7348
Mailing Address - Street 1:1026 FLORIN RD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-3513
Mailing Address - Country:US
Mailing Address - Phone:916-296-7348
Mailing Address - Fax:
Practice Address - Street 1:730 I ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-2623
Practice Address - Country:US
Practice Address - Phone:916-296-7348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain