ELLIOTTS PHARMACY INC. NPI 1790721793

NPI Information

  • NPI: 1790721793
  • Provider Name: ELLIOTTS PHARMACY INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: MAXCARE/MAXCARE RX
  • Address: 4825 EL CAMINO REAL
    ATASCADERO, CA
    ZIP 93422
  • Phone: (888) 900-7878

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NPI Details

ELLIOTTS PHARMACY INC. is a durable medical equipment medical supplies in Atascadero, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ELLIOTTS PHARMACY INC. NPI is 1790721793. The provider is registered as an organization entity type.
The provider Is Doing Business As Maxcare/maxcare Rx.

The provider's business location address is:

4825 EL CAMINO REAL
ATASCADERO, CA
ZIP 93422-759
Phone: (888) 900-7878
Fax: (877) 430-7695

The provider's authorized official is Ashe Wahba .
The authorized official title is Owner/pharmacist and has the following contact phone number (888) 900-7878.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 8/22/2020.

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
1332B00000XDurable Medical Equipment & Medical Supplies102015CALIFORNIAYes

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
1PHA462370MEDICAIDCALIFORNIA

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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