Provider Type Icon

TABULA RASA HEALTHCARE GROUP INC. NPI 1609887231


NPI Information

NPI: 1609887231
Provider Name: TABULA RASA HEALTHCARE GROUP, INC.

Doing Business As: CAREKINESIS

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 05D2268683

Address:
401 S CANAL ST
SOUTH SAN FRANCISCO, CA
ZIP 94080
Phone: (415) 387-3231
Get Directions

TABULA RASA HEALTHCARE GROUP, INC. is a long term care pharmacy pharmacy in South San Francisco, 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. TABULA RASA HEALTHCARE GROUP, INC. NPI is 1609887231. The provider is registered as an organization entity type.
The provider Is Doing Business As Carekinesis.

The provider's business location address is:

401 S CANAL ST
SOUTH SAN FRANCISCO, CA
ZIP 94080-606
Phone: (415) 387-3231
Fax: (650) 742-9429

The provider's authorized official is Michael Greenhalgh .
The authorized official title is Chief Operationg Officer and has the following contact phone number (856) 840-4867.

The CLIA number assigned to this NPI record is 05D2268683 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 2/23/2021.


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
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyPHY55500CALIFORNIAYes

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
1PHA451080MEDICAIDCALIFORNIA
21609887231MEDICAIDCALIFORNIA
32094532OTHERPK

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

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.