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PACIFIC WEST PHARMACY INC NPI 1902842396


NPI Information

NPI: 1902842396
Provider Name: PACIFIC WEST PHARMACY INC

Doing Business As: PACIFIC WEST PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 05D2204499

Address:
4363 PACIFIC ST
ROCKLIN, CA
ZIP 95677
Phone: (916) 632-7560
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PACIFIC WEST PHARMACY INC is a long term care pharmacy pharmacy in Rocklin, 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. PACIFIC WEST PHARMACY INC NPI is 1902842396. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacific West Pharmacy.

The provider's business location address is:

4363 PACIFIC ST
ROCKLIN, CA
ZIP 95677-117
Phone: (916) 632-7560
Fax: (916) 632-7571

The provider's authorized official is Arthur Whitney .
The authorized official title is President and has the following contact phone number (916) 632-9311.

The CLIA number assigned to this NPI record is 05D2204499 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 10/15/2010.


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 PharmacyPHY40592CALIFORNIAYes

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
1PHA405920MEDICAIDCALIFORNIA
20591924OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
31188950001MEDICARE NSC

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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