IHC SANTA YSABEL PHARMACY NPI 1407252588

NPI Information

  • NPI: 1407252588
  • Provider Name: IHC SANTA YSABEL PHARMACY
  • Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
  • Entity Type: Organization
  • Doing Business As: IHC SANTA YSABEL PHARMACY
  • Address: 110 1/2 SCHOOL HOUSE CANYON ROAD
    SANTA YSABEL, CA
    ZIP 92070
  • Phone: (760) 233-5587

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NPI Details

IHC SANTA YSABEL PHARMACY is an indian health service tribal urban indian health i t u pharmacy in Santa Ysabel, CA. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. IHC SANTA YSABEL PHARMACY NPI is 1407252588. The provider is registered as an organization entity type.
The provider Is Doing Business As Ihc Santa Ysabel Pharmacy.

The provider's business location address is:

110 1/2 SCHOOL HOUSE CANYON ROAD
SANTA YSABEL, CA
ZIP 92070
Phone: (760) 233-5587
Fax: (760) 765-3769

The provider's authorized official is Robert Schostag .
The authorized official title is Pharmacy Director and has the following contact phone number (760) 749-1410.

The enumeration date for this NPI number is 11/17/2014 and was last updated on 11/17/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPHY46552CALIFORNIAYes

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
12148638OTHERPK

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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