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COMMUNITY HEALTH ALLIANCE OF PASADENA NPI 1447653787


NPI Information

NPI: 1447653787
Provider Name: COMMUNITY HEALTH ALLIANCE OF PASADENA

Former Legal Business Name: COMMUNITY HEALTH ALLIANCE OF PASADENA

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1855 N FAIR OAKS AVE STE 100
PASADENA, CA
ZIP 91103
Phone: (626) 993-1214
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COMMUNITY HEALTH ALLIANCE OF PASADENA is a community/retail pharmacy pharmacy in Pasadena, 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. COMMUNITY HEALTH ALLIANCE OF PASADENA NPI is 1447653787. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Community Health Alliance Of Pasadena.

The provider's business location address is:

1855 N FAIR OAKS AVE STE 100
PASADENA, CA
ZIP 91103-620
Phone: (626) 993-1214
Fax: (626) 398-5848

The provider's authorized official is Sergio Bautista .
The authorized official title is Cfo/coo and has the following contact phone number (626) 993-1222.

The enumeration date for this NPI number is 10/1/2014 and was last updated on 6/26/2019.


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
23336C0002XPharmacyClinic PharmacyNo
33336M0002XPharmacyMail Order PharmacyNo
43336M0003XPharmacyManaged Care Organization PharmacyNo
53336C0003XPharmacyCommunity/Retail Pharmacy51691CALIFORNIAYes

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
12166536OTHERPK
2W14338MEDICAIDCALIFORNIA

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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