MED CHOICE LTC PHARMACY LLC NPI 1689372393

NPI Information

  • NPI: 1689372393
  • Provider Name: MED CHOICE LTC PHARMACY LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • :
  • Address: 2222 E ORANGEBURG AVE STE B3
    MODESTO, CA
    ZIP 95355
  • Phone: (209) 298-1715

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NPI Details

MED CHOICE LTC PHARMACY LLC is a long term care pharmacy pharmacy in Modesto, 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. MED CHOICE LTC PHARMACY LLC NPI is 1689372393. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2222 E ORANGEBURG AVE STE B3
MODESTO, CA
ZIP 95355-472
Phone: (209) 298-1715
Fax: (559) 369-2408

The provider's authorized official is Pratap Krishna Anne .
The authorized official title is Pharmacy Owner and has the following contact phone number (209) 298-1715.

The enumeration date for this NPI number is 2/21/2023 and was last updated on 2/11/2025.

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
13336L0003XPharmacyLong Term Care PharmacyYes

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
160512OTHERCALIFORNIAPHARMACY LICENSE

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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