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CALIFORNIA SPECIALTY PHARMACY LLC NPI 1114239332


NPI Information

NPI: 1114239332
Provider Name: CALIFORNIA SPECIALTY PHARMACY LLC

Doing Business As: CALIFORNIA SPECIALTY PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
12110 HADLEY ST STE B
WHITTIER, CA
ZIP 90601
Phone: (877) 802-7779
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CALIFORNIA SPECIALTY PHARMACY LLC is a community/retail pharmacy pharmacy in Whittier, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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 SPECIALTY PHARMACY LLC NPI is 1114239332. The provider is registered as an organization entity type.
The provider Is Doing Business As California Specialty Pharmacy.

The provider's business location address is:

12110 HADLEY ST STE B
WHITTIER, CA
ZIP 90601-912
Phone: (877) 802-7779
Fax: (866) 853-6555

The provider's authorized official is George Worthington Kridner .
The authorized official title is Ceo and has the following contact phone number (714) 981-6871.

The enumeration date for this NPI number is 7/2/2010 and was last updated on 9/14/2023.


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
1332B00000XDurable Medical Equipment & Medical SuppliesPMP-666HAWAIINo
2333600000XPharmacyPH24882FLORIDANo
33336C0004XPharmacyCompounding PharmacyNo
43336H0001XPharmacyHome Infusion Therapy PharmacyNo
53336L0003XPharmacyLong Term Care PharmacyNo
63336S0011XPharmacySpecialty PharmacyNo
73336C0003XPharmacyCommunity/Retail Pharmacy54320CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11114239332MEDICAIDCALIFORNIA
22125569OTHERPK
3550007732OTHERCALIFORNIASTATE OF CALIFORNIA DEPARTMENT OF PUBLIC HEALTH - HOME HEALTH
47485260001OTHERCALIFORNIAMEDICARE PTAN
5101349024MEDICAIDCALIFORNIA

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.