986 PHARMACY 8001 INC NPI 1245604792

NPI Details

986 PHARMACY 8001 INC is a long term care pharmacy pharmacy in La Verne, 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. 986 PHARMACY 8001 INC NPI is 1245604792. The provider is registered as an organization entity type.
The provider Is Doing Business As 986 Pharmacy.

The provider's business location address is:

2143 FOOTHILL BLVD
LA VERNE, CA
ZIP 91750-942
Phone: (909) 596-6168
Fax: (909) 596-6155

The provider's authorized official is Lilia Xu .
The authorized official title is Ceo and has the following contact phone number (909) 596-6168.

The CLIA number assigned to this NPI record is 05D2110002 - pharmacy with a certificate type of Certificate of Waiver.

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.

• Fee covid-19 vac 13 res (HCPCS:0124A)
• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
• Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
• Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 11/20/2015 and was last updated on 7/15/2024.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.