COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY PHARMACY (NPI# 1093830853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093830853 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY PHARMACY |
| Other Organization Name | COUNTY OF SANTA CRUZ |
| Practice Address |
1080 Emeline Ave Santa Cruz CA 95060-1966 |
| Practice Telephone | 8314544587 |
| Practice Fax Number | 8314544893 |
| Mailing Telephone | 8314544587 |
| Mailing Fax Number | 8314544893 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-04-30 |
| Authorized Official Name | ANDRE MESCHI (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 8314545454 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF SANTA CRUZ |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PHE 6576 | CA | Suppliers |
| Y | 333600000X | Pharmacy | PHE 6576 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF PHARMACY | PHE6576 | 01 |
| CA | PHOB65760 | 05 |
| Other Name | Type Code |
|---|---|
| County of Santa Cruz | Doing Business As Name - Organization |
| Street Address |
1080 EMELINE AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-1966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730188608 | Marion Joanna Jordan | Physician Assistant | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2005-07-21 |
| 1811526114 | Selena Hudson | Nurse Practitioner | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2020-04-07 |
| 1689219578 | Melinda Marie Martindale | Social Worker | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2019-11-14 |
| 1588225247 | Kirsten Aline Juel | Social Worker | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2019-06-24 |
| 1093248254 | Rashmi Mathew | Internal Medicine | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2017-04-05 |
| 1659810513 | County of Santa Cruz | Clinic/Center | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2017-02-13 |
| 1598156671 | Jose Luis Fernandez | Counselor | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2015-02-11 |
| 1447591078 | Lisa Hernandez | Preventive Medicine | 1080 Emeline Ave, 2nd Floor, Public Health, Santa Cruz, CA 95060-1966 | 2013-03-06 |
| 1578814901 | Jennifer Kelly | Counselor | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2012-09-25 |
| 1972851517 | Matthew James Ventimiglia | Psychologist | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2012-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295779635 | Longs Drug Stores California LLC | Pharmacy | 600 Front St, Santa Cruz, CA 95060-4507 | 2006-06-16 |
| 1023029600 | Medical Tree Pharmacy Inc | Pharmacy | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2006-08-10 |
| 1487642237 | Nor-bar Industries Inc | Pharmacy | 550 Water St, Bldg H, Santa Cruz, CA 95060-4124 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
| 1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
Please comment or provide details below to improve the information on COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY PHARMACY.
| 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.