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CERES DRUG STORE INC. NPI 1003821638


NPI Information

NPI: 1003821638
Provider Name: CERES DRUG STORE, INC.

Doing Business As: CERES DRUG STORE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2929 4TH ST
CERES, CA
ZIP 95307
Phone: (209) 537-0718
Get Directions

CERES DRUG STORE, INC. is a community/retail pharmacy pharmacy in Ceres, 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. CERES DRUG STORE, INC. NPI is 1003821638. The provider is registered as an organization entity type.
The provider Is Doing Business As Ceres Drug Store.

The provider's business location address is:

2929 4TH ST
CERES, CA
ZIP 95307-222
Phone: (209) 537-0718
Fax: (209) 537-4252

The provider's authorized official is Derek Smernes .
The authorized official title is Ceo and has the following contact phone number (209) 537-0718.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 9/18/2019.


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 PharmacyPHY30773CALIFORNIANo
33336C0003XPharmacyCommunity/Retail PharmacyYes

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
1PHY30773MEDICAIDCALIFORNIA
2PHA307730MEDICAIDCALIFORNIA
3PHY57145MEDICAIDCALIFORNIA
42034704OTHERPK

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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