INTERGALACTIC HEALTHCARE INC NPI 1245671684

NPI Details

INTERGALACTIC HEALTHCARE INC is a community/retail pharmacy pharmacy in Van Nuys, 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. INTERGALACTIC HEALTHCARE INC NPI is 1245671684. The provider is registered as an organization entity type.
The provider Is Doing Business As 986 Pharmacy #8022.

The provider's business location address is:

15211 VANOWEN ST
SUITE 110
VAN NUYS, CA
ZIP 91405-606
Phone: (818) 387-8871
Fax: (818) 387-8793

The provider's authorized official is James Chang .
The authorized official title is Ceo and has the following contact phone number (818) 387-8871.

The CLIA number assigned to this NPI record is 05D2308572 - 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.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
• Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 7/15/2013 and was last updated on 7/9/2024.

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.