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RIDGECREST REGIONAL HOSPITAL NPI 1790811289


NPI Information

NPI: 1790811289
Provider Name: RIDGECREST REGIONAL HOSPITAL

Other Name: CENTER PROFESSIONAL PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1109 N CHINA LAKE BLVD
RIDGECREST, CA
ZIP 93555
Phone: (760) 446-4141
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RIDGECREST REGIONAL HOSPITAL is a community/retail pharmacy pharmacy in Ridgecrest, 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. RIDGECREST REGIONAL HOSPITAL NPI is 1790811289. The provider is registered as an organization entity type.
The provider Other Name Is Center Professional Pharmacy.

The provider's business location address is:

1109 N CHINA LAKE BLVD
RIDGECREST, CA
ZIP 93555-131
Phone: (760) 446-4141
Fax: (760) 446-4600

The provider's authorized official is Joseph Furtado .
The authorized official title is Pharmacist In Charge and has the following contact phone number (760) 446-4141.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 1/10/2020.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy53935CALIFORNIAYes
33336L0003XPharmacyLong Term Care PharmacyNo

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
11790811289MEDICAIDCALIFORNIA
22162070OTHERPK

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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