San Joaquin Drug Incorporated in Planada - Durable Medical Equipment & Medical Supplies
San Joaquin Drug Incorporated - NPI 1982788170
San Joaquin Drug Incorporated is a Durable Medical Equipment & Medical Supplies in Planada, California. San Joaquin Drug Incorporated practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for San Joaquin Drug Incorporated is 1982788170. The last update date is 2023-03-07.
San Joaquin Drug Incorporated's current location address is 9215 East Highway 140, Planada, California. You can contact this provider via phone number 2093821291. The mailing address for San Joaquin Drug Incorporated is 9215 East Highway 140, Planada, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Joaquin Drug Incorporated |
|---|---|
| Address | 9215 East Highway 140, Planada, California |
| Phone Number | 2093821291 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bass Elizabeth Katherine |
| Credentials | PHARM D |
| Telephone Number | 2093821291 |
NPI Number Detail
| NPI Number | 1982788170 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 9215 East Highway 140 |
|---|---|
| City | Planada |
| State | California (CA) |
| Post Code | 953651636 |
| Phone Number | 2093821291 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 555550 | CA | NCPDP | |
| PHY46468 | CA | CA PHARMACY LICENSE | |
| PHA447650 | CA | MEDI-CAL |
Post Comment/ Review Below
What is the unique identifier code issued to San Joaquin Drug Incorporated by the Centers for Medicare & Medicaid Services?
The San Joaquin Drug Incorporated has been assigned the NPI (National Provider Identifier) 1982788170. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where San Joaquin Drug Incorporated is physically located?
The San Joaquin Drug Incorporated is physically situated at the following address: 9215 East Highway 140, Planada, CA, 953651636.
What is San Joaquin Drug Incorporated's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The San Joaquin Drug Incorporated's specialized field of practice is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this area of specialization is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1982788170 to San Joaquin Drug Incorporated?
The San Joaquin Drug Incorporated received its 1982788170 assignment from the Centers for Medicare & Medicaid Services on 2006-10-24.
When was the information pertaining to San Joaquin Drug Incorporated most recently updated or revised?
The details related to San Joaquin Drug Incorporated, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.