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CHILDREN'S HOSPITAL CENTRAL CALIFORNIA CAMPUS PHARMACY NPI 1558321307


NPI Information

NPI: 1558321307
Provider Name: CHILDREN'S HOSPITAL CENTRAL CALIFORNIA CAMPUS PHARMACY

Former Legal Business Name: VALLEY CHILDREN'S CAMPUS PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
41169 GOODWIN WAY
MAIL STOP MB09
MADERA, CA
ZIP 93638
Phone: (559) 353-6300
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CHILDREN'S HOSPITAL CENTRAL CALIFORNIA CAMPUS PHARMACY is a pharmacy in Madera, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CHILDREN'S HOSPITAL CENTRAL CALIFORNIA CAMPUS PHARMACY NPI is 1558321307. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Valley Children's Campus Pharmacy.

The provider's business location address is:

41169 GOODWIN WAY
MAIL STOP MB09
MADERA, CA
ZIP 93638-766
Phone: (559) 353-6300
Fax: (559) 353-6308

The provider's authorized official is Gregory Alan Inouye .
The authorized official title is Pharmacist In Charge and has the following contact phone number (559) 353-6302.

The enumeration date for this NPI number is 3/24/2006 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
1333600000XPharmacyPHY437930CALIFORNIAYes

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
10537639OTHERNABP #
2PHY437930MEDICAIDCALIFORNIA
3BV6001628OTHERDEA #

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

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.