COMMUNITY PHARMACY (NPI# 1205948916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205948916 |
| Entity Type | Organization |
| Organization Name | COMMUNITY PHARMACY |
| Practice Address |
117 N Imperial Ave Imperial CA 92251-1262 |
| Mailing Address |
Po Box 638 Imperial CA 92251-0638 |
| Practice Telephone | 7603552863 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NOEL CARRICO (OWNER PHARMACIST) |
| Authorized Official Telephone | 7603552863 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PHY39518 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811034200 | Community Pharmacy | Pharmacy | 10401 Lakewood Blvd, Downey, CA 90241-2744 | 2007-02-01 |
| 1952415945 | Community Pharmacy | Pharmacy | 3520 Knickerbocker Rd Ste A, San Angelo, TX 76904-7601 | 2006-08-18 |
| 1851759526 | Community Pharmacy | General Acute Care Hospital | 1818 Albion St, Nashville, TN 37208-2918 | 2016-02-09 |
| 1962750893 | Community Pharmacy | Pharmacy | 270 Pine Mountain Rd, Hudson, NC 28638-2634 | 2012-08-27 |
| 1649470840 | Community Pharmacy | Pharmacy | 11226 Southwest Freeway, Houston, TX 77031 | 2007-07-25 |
| 1831102177 | Community Pharmacy | Pharmacy | 852 W Ventura St, Fillmore, CA 93015-1837 | 2006-08-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | COMMUNITY PHARMACY COURIER, INC. | 21689 Northstar Dr, Gretna, NE 68028 |
| Virginia Business Entities | Community Pharmacy Enterprises LLC | 7000 Cardinal Place, Dublin, Ohio 43017 |
| Indiana Business Entities | COMMUNITY PHARMACY INC | 1925 N Madison Avenue, Anderson, IN 46012 |
| North Carolina Corporations | Community Pharmacy Inc. | 3302 Bridges St Ste A, Morehead City, NC 28557 |
| Massachusetts Corporations | COMMUNITY PHARMACY NETWORK SOLUTIONS, INC. | 1550 Columbus St., Sun Prairie, WI 53590 |
| Connecticut Business Registrations | COMMUNITY PHARMACY NETWORK SOLUTIONS, INC. | 1550 Columbus Street, Sun Prairie, WI 53590 |
| New York State Corporations | COMMUNITY PHARMACY NY LLC | Po Box 10873, Albany, Ny 12201 |
| North Carolina Corporations | Community Pharmacy of Albemarle LLC | 12124 Pine Valley Club Dr., Charlotte, NC 28277 |
| North Carolina Corporations | Community Pharmacy of Chester LLC | 12124 Pine Valley Club Dr., Charlotte, NC 28277 |
| North Carolina Corporations | Community Pharmacy of Locust LLC | 12124 Pine Valley Club Dr., Charlotte, NC 28277 |
| Street Address |
117 N IMPERIAL AVE |
| City | IMPERIAL |
| State | CA |
| Zip Code | 92251-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134656317 | Fronteras Interpreting | Interpreter | 284 W La Paz Drive, Imperial, CA 92251 | 2017-05-18 |
| 1639613128 | Surgery Centers of Imperial Valley Inc | Clinic/Center | 2402 Business Parkway, Suite 101, Imperial, CA 92251 | 2016-12-19 |
| 1508010315 | Bethzyra Guevara | Rehabilitation Counselor | 624 Ruby Street, Imperial, CA 92251 | 2008-11-06 |
| 1396929345 | Byron Justus | Dentist | 2387 Us Highwy 86, Imperial, CA 92251 | 2007-12-27 |
| 1154503894 | Gary G Cummings | Dentist | 2302 Brown Rd., Centinela State Prison, Imperial, CA 92251 | 2007-12-05 |
| 1396925160 | Dave Sat Khatri | Internal Medicine | 2302 Brown Road, Centinela State Prison, Imperial, CA 92251 | 2007-11-09 |
| 1144420928 | Freddy Carreno | Nurse Practitioner | 2302 Brown Rd, Imperial, CA 92251 | 2007-07-20 |
| 1336289818 | Herbert Ray Bumgart Jr. | Rehabilitation Counselor | 1295 State St Suite 106, El Centro, CA 92251 | 2007-02-07 |
| 1578668976 | Volunteers of America Southwest California | Skilled Nursing Facility | 100 E. Second Street, Imperial, CA 92251 | 2006-09-13 |
| 1598780736 | Bernardo Ng | Psychiatry & Neurology | 2417 Marshall Ave, Ste 1, Imperial, CA 92251 | 2006-07-12 |
| Find all providers in zip 92251 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336372713 | Shannon Marie Antypas | Pharmacist | 103 W Allegheny Rd, Imperial, PA 15126-9779 | 2009-09-01 |
| 1508887886 | Dianne Harms | Pharmacist | 1324 Broadway, Imperial, NE 69033-0597 | 2006-07-21 |
| 1679128789 | Adam Hernley | Pharmacist | 103 W Allegheny Rd, Imperial, PA 15126-9779 | 2019-08-06 |
| 1699337659 | Matthew R Miller | Pharmacist | 103 W Allegheny Rd, Imperial, PA 15126-9779 | 2019-06-30 |
| 1902371370 | Stephanie Rae Stuparitz | Pharmacist | 103 W Allegheny Rd, Imperial, PA 15126-9779 | 2018-10-11 |
| 1144732256 | Stephanie Leeann Mitchell | Pharmacist | 103 W Allegheny Rd, Imperial, PA 15126-9779 | 2017-10-30 |
| 1770038762 | Cassandra Bloor | Pharmacist | 103 W Allegheny Rd, Imperial, PA 15126-9779 | 2016-08-18 |
| 1134533490 | Rite Aid | Pharmacist | 103 W Allegheny Rd, Imperial, PA 15126-9779 | 2014-06-16 |
| 1811312895 | Jackie M Bacuzzi-cowdrick | Pharmacist | 2302 Brown Rd, Imperial, CA 92251 | 2014-02-27 |
| 1104241645 | Teresita Fugoso | Pharmacist | 2302 Brown Rd, Centinela State Prison Pharmacy, Imperial, CA 92251 | 2014-02-20 |
| Find all providers in IMPERIAL | ||||
Please comment or provide details below to improve the information on COMMUNITY 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.