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TIB PHARMACY INC NPI 1447736509


NPI Information

NPI: 1447736509
Provider Name: TIB PHARMACY INC

Doing Business As: TIB LTC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 05D2198502

Address:
5886 MOWRY SCHOOL RD
NEWARK, CA
ZIP 94560
Phone: (510) 573-0064
Get Directions

TIB PHARMACY INC is a long term care pharmacy pharmacy in Newark, 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. TIB PHARMACY INC NPI is 1447736509. The provider is registered as an organization entity type.
The provider Is Doing Business As Tib Ltc.

The provider's business location address is:

5886 MOWRY SCHOOL RD
NEWARK, CA
ZIP 94560-367
Phone: (510) 573-0064
Fax: (510) 573-0096

The provider's authorized official is Naweed Muhammad .
The authorized official title is Ceo and has the following contact phone number (510) 902-8080.

The CLIA number assigned to this NPI record is 05D2198502 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2018 and was last updated on 11/10/2023.


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
13336L0003XPharmacyLong Term Care Pharmacy55535CALIFORNIAYes

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
1352567375OTHERIRS

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: 4/28/2024

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