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DR IKES PHARMACARE LLC NPI 1386074607


NPI Information

NPI: 1386074607
Provider Name: DR IKES PHARMACARE LLC

Doing Business As: DR. IKE'S PHARMACARE

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
15853 MONTE ST STE 101
SYLMAR, CA
ZIP 91342
Phone: (818) 696-2606
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DR IKES PHARMACARE LLC is a long term care pharmacy pharmacy in Sylmar, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. DR IKES PHARMACARE LLC NPI is 1386074607. The provider is registered as an organization entity type.
The provider Is Doing Business As Dr. Ike's Pharmacare.

The provider's business location address is:

15853 MONTE ST STE 101
SYLMAR, CA
ZIP 91342-671
Phone: (818) 696-2606
Fax: (818) 432-2488

The provider's authorized official is Ryan Butler .
The authorized official title is Senior Directior Of Operations and has the following contact phone number (630) 242-8969.

The enumeration date for this NPI number is 11/22/2013 and was last updated on 2/28/2024.


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
13336L0003XPharmacyLong Term Care PharmacyYes

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
12143140OTHERPK
21386074607MEDICAIDCALIFORNIA
358005OTHERCALIFORNIACA BOARD OF PHARMACY

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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