SUTTER CENTRAL VALLEY HOSPITALS NPI 1043246747

NPI Information

  • NPI: 1043246747
  • Provider Name: SUTTER CENTRAL VALLEY HOSPITALS
  • Classification: Pharmacy - 3336I0012X
  • Specialization: Institutional Pharmacy
  • Entity Type: Organization
  • Doing Business As: MEMORIAL MEDICAL CENTER OUTPATIENT PHARM
  • CLIA Number: 05D2294366
  • Address: 1800 COFFEE RD
    SUITE 110
    MODESTO, CA
    ZIP 95355
  • Phone: (209) 572-7132

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NPI Details

SUTTER CENTRAL VALLEY HOSPITALS is an institutional pharmacy pharmacy in Modesto, CA. The provider is a pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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. SUTTER CENTRAL VALLEY HOSPITALS NPI is 1043246747. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorial Medical Center Outpatient Pharm.

The provider's business location address is:

1800 COFFEE RD
SUITE 110
MODESTO, CA
ZIP 95355-705
Phone: (209) 572-7132
Fax: (209) 572-7077

The provider's authorized official is James Breshears .
The authorized official title is Director Of Pharmacy and has the following contact phone number (209) 569-7352.

The CLIA number assigned to this NPI record is 05D2294366 - other - infusion center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 10/6/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336I0012XPharmacyInstitutional PharmacyHSP37596CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PHB375960MEDICAIDCALIFORNIA
20538009OTHERNCPDP PROVIDER IDENTIFICATION 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: 11/21/2025

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