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CALIFORNIA STATE UNIVERSITY SACRAMENTO NPI 1972524924


NPI Information

NPI: 1972524924
Provider Name: CALIFORNIA STATE UNIVERSITY, SACRAMENTO

Doing Business As: SACRAMENTO STATE STUDENT HEALTH SERVICES PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
6000 J ST FL 1
THE WELL
SACRAMENTO, CA
ZIP 95819
Phone: (916) 278-6040
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CALIFORNIA STATE UNIVERSITY, SACRAMENTO is a clinic pharmacy pharmacy in Sacramento, CA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. CALIFORNIA STATE UNIVERSITY, SACRAMENTO NPI is 1972524924. The provider is registered as an organization entity type.
The provider Is Doing Business As Sacramento State Student Health Services Pharmacy.

The provider's business location address is:

6000 J ST FL 1
THE WELL
SACRAMENTO, CA
ZIP 95819-605
Phone: (916) 278-6040
Fax: (916) 278-6046

The provider's authorized official is Joy Stewart-james .
The authorized official title is Executive Director and has the following contact phone number (916) 278-6049.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 2/2/2015.


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
13336C0002XPharmacyClinic PharmacyPHE17371CALIFORNIAYes

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
11997199OTHERPK
2PHB173710MEDICAIDCALIFORNIA

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: 11/14/2023

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.