KIBBLE ENTERPRISES INC (NPI# 1083601496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083601496 |
| Entity Type | Organization |
| Organization Name | KIBBLE ENTERPRISES INC |
| Other Organization Name | QUINCY DRUG STORE |
| Practice Address |
493 Main St Quincy CA 95971-9120 |
| Mailing Address |
157 Commercial St Portola CA 96122-9606 |
| Practice Telephone | 5308324218 |
| Practice Fax Number | 5308321375 |
| Mailing Telephone | 5308324218 |
| Mailing Fax Number | 5302831410 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | MICHAEL KIBBLE (PHARMACIST OWNER) |
| Authorized Official Telephone | 5302830480 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY46583 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA465830 | 05 | |
| PK | 2076757 | 01 |
| Other Name | Type Code |
|---|---|
| QUINCY DRUG STORE | Doing Business As Name - Organization |
| Street Address |
493 MAIN ST |
| City | QUINCY |
| State | CA |
| Zip Code | 95971-9120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801914718 | Barrat E Bailey | Pharmacist | 493 Main St, Quincy, CA 95971-9120 | 2007-03-27 |
| 1629194303 | Michael William Kibble | Pharmacist | 493 Main St, Quincy, CA 95971-9120 | 2007-03-22 |
| 1629194345 | Mary Therese Pearson | Pharmacist | 493 Main St, Quincy, CA 95971-9120 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164991725 | Carrie Little | Social Worker | 207 County Hospital Road Suite 109, Quincy, CA 95971 | 2018-11-13 |
| 1740782168 | Luis Rubalcava-cunan | Case Manager/Care Coordinator | 270 County Hospital Rd., Suite 109, Quincy, CA 95971 | 2018-03-01 |
| 1831612860 | Matthew Ward | Counselor | 270 County Hospital Rd. #109, Quincy, CA 95971 | 2017-07-21 |
| 1386060697 | Plumas County Public Health Agency | Public Health or Welfare | 270 County Hospital Road, Suite 206, Quincy, CA 95971 | 2014-03-11 |
| 1134314065 | Deborah Shulsinger | Physical Therapist | 76 Crescent St., Quincy, CA 95971 | 2007-09-13 |
| 1053522599 | Gregory Sawyer Dds A PC | Dentist | 2034 E Main St, Quincy, CA 95971 | 2007-05-25 |
| 1043363542 | Sands Traveler Pt, Inc. | Specialist | 76 Cresent, Quincy, CA 95971 | 2007-01-19 |
| 1891847364 | Cf Quincy, LLC | Skilled Nursing Facility | 50 East Central Avenue, Quincy, CA 95971 | 2007-01-17 |
| 1437208220 | Stewart Allen Gately | Dentist | 352 Lawrence St., Quincy, CA 95971 | 2007-01-09 |
| 1215091665 | Marjorie A. Gannon | Marriage & Family Therapist | 711 E. Main Street, Quincy, CA 95971 | 2006-12-20 |
| Find all providers in zip 95971 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700440344 | Quincy Pharmacy LLC | Pharmacy | 918 13th Ave Sw Bldg F, Quincy, WA 98848-9811 | 2019-04-29 |
| 1245330679 | Cvs Pharmacy Inc | Pharmacy | 626 Southern Artery Rte 3a, Quincy, MA 02169 | 2006-09-25 |
| 1104925403 | Cvs Pharmacy Inc | Pharmacy | 321 Quincy Shore Dr, Quincy, MA 02171-1846 | 2006-09-22 |
| 1861596777 | Holiday Cvs LLC | Pharmacy | 1208 W Jefferson St, Quincy, FL 32351-2126 | 2006-09-12 |
| 1508871799 | Walgreen Eastern Co Inc | Pharmacy | 418 Quincy Ave, Quincy, MA 02169-8130 | 2006-07-29 |
| 1780125401 | Walgreen Co | Pharmacy | 927 Broadway St, Quincy, IL 62301-2719 | 2017-03-14 |
| 1477964302 | Thrifty Corporation | Pharmacy | 40 E Main St, Quincy, CA 95971-9701 | 2014-05-14 |
| 1447660576 | Galaxy Pharmacy LLC | Pharmacy | 343 Newport Ave, Quincy, MA 02170-3376 | 2014-04-29 |
| 1740527175 | South Cove Community Health Center, Inc. | Pharmacy | 435 Hancock St, Quincy, MA 02171-2428 | 2013-01-04 |
| 1578813143 | Medi-son Solutions, LLC | Pharmacy | 343 Newport Ave, Quincy, MA 02170 | 2012-09-11 |
| Find all providers in QUINCY | ||||
Please comment or provide details below to improve the information on KIBBLE ENTERPRISES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.