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PATRICK K CROSBY NPI 1225024524


NPI Information

NPI: 1225024524
Provider Name: PATRICK K CROSBY

Doing Business As: GROVELAND PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
18638 MAIN ST
GROVELAND, CA
ZIP 95321
Phone: (209) 962-5211
Get Directions

PATRICK K CROSBY is a community/retail pharmacy pharmacy in Groveland, 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. PATRICK K CROSBY NPI is 1225024524. The provider is registered as an organization entity type.
The provider Is Doing Business As Groveland Pharmacy.

The provider's business location address is:

18638 MAIN ST
GROVELAND, CA
ZIP 95321-458
Phone: (209) 962-5211
Fax: (209) 962-0963

The provider's authorized official is Patrick Crosby .
The authorized official title is Owner and has the following contact phone number (209) 962-5211.

The enumeration date for this NPI number is 9/22/2005 and was last updated on 4/16/2014.


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
1332B00000XDurable Medical Equipment & Medical Supplies4743490001CALIFORNIANo
23336C0003XPharmacyCommunity/Retail PharmacyPHY39864CALIFORNIAYes

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
1GM613AOTHERCALIFORNIAPTAN FOR MASS IMMUNIZATION ROSTER BILLER
20586416OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
34743490001MEDICARE NSC

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: 4/28/2024

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