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CALIFORNIA STATE UNIVERSITY SAN BERNARDINO AP NPI 1750524831


NPI Information

NPI: 1750524831
Provider Name: CALIFORNIA STATE UNIVERSITY SAN BERNARDINO AP

Doing Business As: CALIFORNIA STATE UNIVERSITY SAN BERNARDINO AP

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 05D0886041

Address:
5500 UNIVERSITY PKWY
STUDENT HEALTH CENTER PHARMACY
SAN BERNARDINO, CA
ZIP 92407
Phone: (909) 537-3273
Get Directions

CALIFORNIA STATE UNIVERSITY SAN BERNARDINO AP is a pharmacy in San Bernardino, 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. CALIFORNIA STATE UNIVERSITY SAN BERNARDINO AP NPI is 1750524831. The provider is registered as an organization entity type.
The provider Is Doing Business As California State University San Bernardino Ap.

The provider's business location address is:

5500 UNIVERSITY PKWY
STUDENT HEALTH CENTER PHARMACY
SAN BERNARDINO, CA
ZIP 92407-318
Phone: (909) 537-3273
Fax: (909) 537-7768

The provider's authorized official is Keith Gers .
The authorized official title is Pharmacist In Charge and has the following contact phone number (909) 537-3273.

The CLIA number assigned to this NPI record is 05D0886041 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/20/2009 and was last updated on 3/5/2020.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy19584CALIFORNIAYes

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
12168661OTHERPK

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.