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COBBLESTONE PHARMACY NPI 1770598153


NPI Information

NPI: 1770598153
Provider Name: COBBLESTONE PHARMACY
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
6585 CLARK RD
SUITE 100
PARADISE, CA
ZIP 95969
Phone: (530) 877-3712
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COBBLESTONE PHARMACY is a community/retail pharmacy pharmacy in Paradise, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. COBBLESTONE PHARMACY NPI is 1770598153. The provider is registered as an organization entity type.

The provider's business location address is:

6585 CLARK RD
SUITE 100
PARADISE, CA
ZIP 95969-500
Phone: (530) 877-3712
Fax: (530) 877-5739

The provider's authorized official is Dana Burton Caldwell .
The authorized official title is Owner/pharmacist and has the following contact phone number (530) 877-3712.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 6/19/2008.


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 PharmacyPHY37092CALIFORNIAYes

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
10349300001MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2PHY37092OTHERCALIFORNIAPHARMACY LICENSE/PERMIT
3PHA370920MEDICAIDCALIFORNIA
405-30281OTHERCALIFORNIANCPDP NUMBER

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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