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ENTAG INC NPI 1083786867


NPI Information

NPI: 1083786867
Provider Name: ENTAG INC

Doing Business As: MEDICINE CARE PHARMACY II

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1685 E MAIN ST
STE 101
EL CAJON, CA
ZIP 92021
Phone: (619) 383-2757
Get Directions

ENTAG INC is a long term care pharmacy pharmacy in El Cajon, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. ENTAG INC NPI is 1083786867. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicine Care Pharmacy Ii.

The provider's business location address is:

1685 E MAIN ST
STE 101
EL CAJON, CA
ZIP 92021-225
Phone: (619) 383-2757
Fax: (619) 956-3136

The provider's authorized official is Mohammad Fathie .
The authorized official title is Cfo and has the following contact phone number (619) 200-3927.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/10/2016.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyNo
33336L0003XPharmacyLong Term Care PharmacyPHY49784CALIFORNIAYes

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
1PHA433180MEDICAIDCALIFORNIA
23354331MEDICAIDCALIFORNIA
36369200001MEDICARE NSC
42001246OTHERPK

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: 5/5/2024

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