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CAREMORE HEALTH PLAN NPI 1265805253


NPI Information

NPI: 1265805253
Provider Name: CAREMORE HEALTH PLAN

Doing Business As: CAREMORE MODESTO

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 05D2005475

Address:
1234 MCHENRY AVE
MODESTO, CA
ZIP 95350
Phone: (209) 544-2554
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CAREMORE HEALTH PLAN is a non pharmacy dispensing site in Modesto, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) CAREMORE HEALTH PLAN NPI is 1265805253. The provider is registered as an organization entity type.
The provider Is Doing Business As Caremore Modesto.

The provider's business location address is:

1234 MCHENRY AVE
MODESTO, CA
ZIP 95350-373
Phone: (209) 544-2554

The provider's authorized official is James Rose .
The authorized official title is Director Of Pharmacy and has the following contact phone number (562) 862-3684.

The CLIA number assigned to this NPI record is 05D2005475 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2015 and was last updated on 12/7/2015.


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
1332900000XNon-Pharmacy Dispensing SiteA76149CALIFORNIAYes

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
12155519OTHERPK

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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