BEAR CREEK PHARMACY NPI 1336150820

NPI Information

  • NPI: 1336150820
  • Provider Name: BEAR CREEK PHARMACY
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Address: 36243 INLAND VALLEY DR
    STE 130
    WILDOMAR, CA
    ZIP 92595
  • Phone: (951) 677-4880

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NPI Details

BEAR CREEK PHARMACY is a long term care pharmacy pharmacy in Wildomar, 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. BEAR CREEK PHARMACY NPI is 1336150820. The provider is registered as an organization entity type.

The provider's business location address is:

36243 INLAND VALLEY DR
STE 130
WILDOMAR, CA
ZIP 92595-549
Phone: (951) 677-4880
Fax: (951) 698-4392

The provider's authorized official is Larry Coats .
The authorized official title is Owner and has the following contact phone number (951) 677-4886.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 9/11/2025.

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
1333600000XPharmacyPHY43284CALIFORNIANo
23336C0003XPharmacyCommunity/Retail 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
10597990OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2PHA432840MEDICAIDCALIFORNIA

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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