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CALIFORNIA INSTITUTE FOR MEN PHCY NPI 1053968289


NPI Information

NPI: 1053968289
Provider Name: CALIFORNIA INSTITUTE FOR MEN PHCY
Classification: Pharmacy - 3336I0012X
Entity Type: Organization

Specialization: Institutional Pharmacy

CLIA Number: 05D2029540

Address:
14901 SO CENTRAL AVE
CHINO, CA
ZIP 91710
Phone: (909) 597-1821
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CALIFORNIA INSTITUTE FOR MEN PHCY is an institutional pharmacy pharmacy in Chino, CA. The provider is a pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CALIFORNIA INSTITUTE FOR MEN PHCY NPI is 1053968289. The provider is registered as an organization entity type.

The provider's business location address is:

14901 SO CENTRAL AVE
CHINO, CA
ZIP 91710
Phone: (909) 597-1821

The provider's authorized official is Kerim Bangou .
The authorized official title is Pharmacist-in-charge and has the following contact phone number (909) 597-1821.

The CLIA number assigned to this NPI record is 05D2029540 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2019 and was last updated on 8/22/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic PharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336I0012XPharmacyInstitutional PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.