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TIMBERLAKE PHARMACY INC. NPI 1346499621


NPI Information

NPI: 1346499621
Provider Name: TIMBERLAKE PHARMACY, INC.

Doing Business As: TIMBERLAKE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 05D0887198

Address:
8120 TIMBERLAKE WAY STE 108
SACRAMENTO, CA
ZIP 95823
Phone: (916) 760-2470
Get Directions

TIMBERLAKE PHARMACY, INC. is a community/retail pharmacy pharmacy in Sacramento, 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. TIMBERLAKE PHARMACY, INC. NPI is 1346499621. The provider is registered as an organization entity type.
The provider Is Doing Business As Timberlake Pharmacy.

The provider's business location address is:

8120 TIMBERLAKE WAY STE 108
SACRAMENTO, CA
ZIP 95823-413
Phone: (916) 760-2470
Fax: (916) 682-5950

The provider's authorized official is Stefanie Le .
The authorized official title is Owner and has the following contact phone number (916) 760-2470.

The CLIA number assigned to this NPI record is 05D0887198 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2008 and was last updated on 7/19/2018.


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
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPHY55841CALIFORNIAYes

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
12117351OTHERPK
2800245216MEDICAIDCALIFORNIA

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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