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MADISON HOME PHARMACY CORP NPI 1679970099


NPI Information

NPI: 1679970099
Provider Name: MADISON HOME PHARMACY CORP

Doing Business As: MADISON HOME PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2800 LINCOLN ST STE B
OROVILLE, CA
ZIP 95966
Phone: (530) 282-4146
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MADISON HOME PHARMACY CORP is a community/retail pharmacy pharmacy in Oroville, 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. MADISON HOME PHARMACY CORP NPI is 1679970099. The provider is registered as an organization entity type.
The provider Is Doing Business As Madison Home Pharmacy.

The provider's business location address is:

2800 LINCOLN ST STE B
OROVILLE, CA
ZIP 95966-961
Phone: (530) 282-4146
Fax: (530) 282-4359

The provider's authorized official is Igdaliah Jackson .
The authorized official title is Director Of Operations and has the following contact phone number (610) 333-0131.

The enumeration date for this NPI number is 12/1/2014 and was last updated on 12/13/2019.


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
33336C0003XPharmacyCommunity/Retail PharmacyYes
43336S0011XPharmacySpecialty PharmacyNo

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
137553OTHERCALIFORNIAREGISTERED PHARMACIST
249883OTHERCALIFORNIAREGISTERED PHARMACIST
333157OTHERCALIFORNIAREGISTERED PHARMACIST
41487157574MEDICAIDCALIFORNIA

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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