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PAYLESS PHARMACY INC NPI 1174037626


NPI Information

NPI: 1174037626
Provider Name: PAYLESS PHARMACY INC

Doing Business As: PAYLESS PHARMACY LTC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
2860 DEL PASO RD STE 250
SACRAMENTO, CA
ZIP 95834
Phone: (916) 624-9900
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PAYLESS PHARMACY INC is a long term care pharmacy pharmacy in Sacramento, 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 for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PAYLESS PHARMACY INC NPI is 1174037626. The provider is registered as an organization entity type.
The provider Is Doing Business As Payless Pharmacy Ltc.

The provider's business location address is:

2860 DEL PASO RD STE 250
SACRAMENTO, CA
ZIP 95834-717
Phone: (916) 624-9900

The provider's authorized official is Kingsley Oti .
The authorized official title is President and has the following contact phone number (650) 804-0530.

The enumeration date for this NPI number is 11/20/2017 and was last updated on 2/10/2022.


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
1333600000XPharmacy51144CALIFORNIANo
23336L0003XPharmacyLong Term Care Pharmacy51144CALIFORNIAYes

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
11669762944MEDICAIDCALIFORNIA

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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