EUREKA PHARMACY LLC NPI 1164713517

NPI Information

  • NPI: 1164713517
  • Provider Name: EUREKA PHARMACY LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: CLONEYS LONG TERM CARE PHARMACY
  • Address: 525 5TH ST STE B
    EUREKA, CA
    ZIP 95501
  • Phone: (707) 443-8452

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NPI Details

EUREKA PHARMACY LLC is a long term care pharmacy pharmacy in Eureka, 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. EUREKA PHARMACY LLC NPI is 1164713517. The provider is registered as an organization entity type.
The provider Is Doing Business As Cloneys Long Term Care Pharmacy.

The provider's business location address is:

525 5TH ST STE B
EUREKA, CA
ZIP 95501-032
Phone: (707) 443-8452
Fax: (707) 443-2443

The provider's authorized official is Pratap Krishna Anne .
The authorized official title is Managing Member and has the following contact phone number (209) 298-1715.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Fee covid-19 vac 13 res (HCPCS:0124A)

The enumeration date for this NPI number is 4/20/2011 and was last updated on 8/10/2021.

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
13336C0004XPharmacyCompounding PharmacyNo
23336S0011XPharmacySpecialty PharmacyNo
33336L0003XPharmacyLong Term Care 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12129858OTHERPK
21164713517MEDICAIDCALIFORNIA

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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