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TARGET STORE #T-0852 NPI 1336246776


NPI Information

NPI: 1336246776
Provider Name: TARGET STORE #T-0852
Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
475 ROHNERT PARK EXPY W
ROHNERT PARK, CA
ZIP 94928
Phone: (707) 585-2420
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TARGET STORE #T-0852 is a pharmacist in Rohnert Park, CA. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. TARGET STORE #T-0852 NPI is 1336246776. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

475 ROHNERT PARK EXPY W
ROHNERT PARK, CA
ZIP 94928-907
Phone: (707) 585-2420
Fax: (707) 585-2420

The provider's authorized official is Julie Days .
The authorized official title is Pharmacy Manager and has the following contact phone number (707) 585-2420.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.


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
1183500000XPharmacist57165CALIFORNIAYes

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
1PHA468430OTHERCALIFORNIAMEDI-CAL PROVIDER #

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

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