STUDENT HEALTH CTR PHARMACY NPI 1699838763

NPI Information

NPI: 1699838763
Provider Name: STUDENT HEALTH CTR PHARMACY
Classification: Clinic/Center - 261QS1000X
Specialization: Student Health
Entity Type: Organization
Other Name: SONOMA STATE UNIVERSITY
CLIA Number: 05D0703841
Address: 1801 E COTATI AVE
STUDENT HEALTH CENTER
ROHNERT PARK, CA
ZIP 94928
Phone: (707) 664-2921

Map and Directions

Get Directions

NPI Details

STUDENT HEALTH CTR PHARMACY is a student health clinic center in Rohnert Park, CA. STUDENT HEALTH CTR PHARMACY NPI is 1699838763. The provider is registered as an organization entity type.
The provider Other Name Is Sonoma State University.

The provider's business location address is:

1801 E COTATI AVE
STUDENT HEALTH CENTER
ROHNERT PARK, CA
ZIP 94928-613
Phone: (707) 664-2921
Fax: (707) 664-2925

The provider's authorized official is Irvin William Whitaker .
The authorized official title is Pharmacist In Charge and has the following contact phone number (707) 664-2921.

The CLIA number assigned to this NPI record is 05D0703841 - school/student health service with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 3/7/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	PHE19589	CALIFORNIA	No
2	261QS1000X	Clinic/Center	Student Health	PHE 19589	CALIFORNIA	Yes

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
1	PHE 19589	OTHER	CALIFORNIA	RETAIL PHARMACY 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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI