EXCEL SPECIALTY PHARMACY LLC NPI 1932769684

NPI Information

  • NPI: 1932769684
  • Provider Name: EXCEL SPECIALTY PHARMACY LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: EXCEL SPECIALTY PHARMACY
  • CLIA Number: 05D2202124
  • Address: 604 N MAGNOLIA AVE STE 105
    CLOVIS, CA
    ZIP 93611
  • Phone: (302) 229-5481

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NPI Details

EXCEL SPECIALTY PHARMACY LLC is a clinic center in Clovis, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EXCEL SPECIALTY PHARMACY LLC NPI is 1932769684. The provider is registered as an organization entity type.
The provider Is Doing Business As Excel Specialty Pharmacy.

The provider's business location address is:

604 N MAGNOLIA AVE STE 105
CLOVIS, CA
ZIP 93611-205
Phone: (302) 229-5481

The provider's authorized official is Adeola O Edema .
The authorized official title is Manager and has the following contact phone number (559) 375-1241.

The CLIA number assigned to this NPI record is 05D2202124 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2019 and was last updated on 9/16/2021.

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
1333600000XPharmacyNo
2261Q00000XClinic/CenterYes

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
11932769684MEDICAIDCALIFORNIA

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: 3/30/2025

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