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MEDICAL PLAZA PHARMACY INC. NPI 1912297060


NPI Profile

NPI: 1912297060
Provider Name: MEDICAL PLAZA PHARMACY, INC.

Doing Business As: MEDICAL PLAZA PHARMACY

Classification:Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1101 WELCH RD STE C12
PALO ALTO, CA
ZIP 94304
Get Directions

Phone: (650) 326-2300

MEDICAL PLAZA PHARMACY, INC. is a long term care pharmacy pharmacy in Palo Alto, 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 for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MEDICAL PLAZA PHARMACY, INC. NPI is 1912297060. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Plaza Pharmacy.

The provider's business location address is:

1101 WELCH RD STE C12
PALO ALTO, CA
ZIP 94304-928
Phone: (650) 326-2300
Fax: (650) 326-2351

The provider's authorized official is Jonathan Han .
The authorized official title is Pharmacist and has the following contact phone number (650) 326-2300.

The enumeration date for this NPI number is 4/11/2011 and was last updated on 4/11/2011.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0004XPharmacyCompounding PharmacyNo
43336M0002XPharmacyMail Order PharmacyNo
53336L0003XPharmacyLong Term Care Pharmacy45166CALIFORNIAYes

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
15640594OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
20851590001MEDICARE NSC
3PHY45166MEDICAIDCALIFORNIA

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: 9/12/2021

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