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PACIFICA FORTUNA INC NPI 1154332658


NPI Information

NPI: 1154332658
Provider Name: PACIFICA FORTUNA INC

Doing Business As: PACIFICA FORTUNA PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
14427 CHASE ST
STE B
PANORAMA CITY, CA
ZIP 91402
Phone: (818) 892-8388
Get Directions

PACIFICA FORTUNA INC is a community/retail pharmacy pharmacy in Panorama City, 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. PACIFICA FORTUNA INC NPI is 1154332658. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacifica Fortuna Pharmacy.

The provider's business location address is:

14427 CHASE ST
STE B
PANORAMA CITY, CA
ZIP 91402-020
Phone: (818) 892-8388
Fax: (818) 892-7077

The provider's authorized official is Allen Ho .
The authorized official title is President and has the following contact phone number (818) 892-8388.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 4/30/2008.


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 SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyPHY46593CALIFORNIAYes

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
15172240001MEDICARE NSC
2PHA465930MEDICAIDCALIFORNIA
35601566OTHEROTHER ID NUMBER

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: 11/14/2023

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