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NUGGET MARKET PHARMACY NPI 1952471450


NPI Information

NPI: 1952471450
Provider Name: NUGGET MARKET PHARMACY
Classification: Pharmacist - 1835P1200X
Entity Type: Organization

Specialization: Pharmacotherapy

Address:
157 MAIN ST
WOODLAND, CA
ZIP 95695
Phone: (530) 662-0961
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NUGGET MARKET PHARMACY is a pharmacotherapy pharmacist in Woodland, CA. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. NUGGET MARKET PHARMACY NPI is 1952471450. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

157 MAIN ST
WOODLAND, CA
ZIP 95695-125
Phone: (530) 662-0961
Fax: (530) 668-5597

The provider's authorized official is Gary Nooteboom .
The authorized official title is Pharmacist In Charge and has the following contact phone number (530) 662-0961.

The enumeration date for this NPI number is 11/9/2006 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
11835P1200XPharmacistPharmacotherapyPHY 40465CALIFORNIAYes

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
1PHA404650MEDICAIDCALIFORNIA

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

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