PALCO PHARMACY A CORP (NPI# 1255322863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255322863 |
| Entity Type | Organization |
| Organization Name | PALCO PHARMACY A CORP |
| Practice Address |
113 Main St Suite D Scotia CA 95565 |
| Mailing Address |
Po Box 157 Scotia CA 95565-0157 |
| Practice Telephone | 7077643591 |
| Practice Fax Number | 7077643797 |
| Mailing Telephone | 7077643591 |
| Mailing Fax Number | 7077643797 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-05-19 |
| Authorized Official Name | MERILYN D ROSS (PRESIDENT) |
| Authorized Official Telephone | 7077643591 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHY43140 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA348600 | 05 |
| Street Address |
113 MAIN ST SUITE D |
| City | SCOTIA |
| State | CA |
| Zip Code | 95565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881884377 | Merilyn Dunn Ross | Pharmacist | 113 Main St, Suite D, Scotia, CA 95565-0157 | 2007-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710931464 | Fred W Wakil | Emergency Medicine | 500 B Street Suite B, Scotia, CA 95565 | 2006-05-19 |
| 1568905560 | Southern Trinity Health Services | Clinic/Center | 500 B Street Suite B, Scotia, CA 95565 | 2016-11-22 |
| 1629520507 | Peter Heck | Social Worker | 500 B Street, Scotia, CA 95565 | 2016-10-26 |
| 1619236023 | Southern Trinity Health Services, Inc. | Clinic/Center | 500 B Street, Scotia, CA 95565 | 2012-05-07 |
| 1073713210 | George Dennis Peck | Pharmacist | 113 Main St., Suite D, Scotia, CA 95565 | 2007-07-24 |
| 1306891502 | Mark Allen Hise | Dentist | 500 B Street, Scotia, CA 95565-0068 | 2006-05-24 |
| 1972869535 | Daniel Bywater | Pharmacy Technician | 113 Main Street Suite D, Scotia, CA 95565-0157 | 2012-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756840 | Kimberly Denny | Student in an Organized Health Care Education/Training Program | 41 Glenview Dr, Scotia, NY 12302-3220 | 2020-09-29 |
| 1285245191 | Allyson Nicole Alemany | Speech-Language Pathologist | 297 N Ballston Rd, Scotia, NY 12302-3126 | 2020-08-13 |
| 1053921973 | Maria Magnoua Castaneda | Case Manager/Care Coordinator | 701 Carnbridge Manor Dr., Scotia, NY 12302 | 2020-08-05 |
| 1720600158 | Wallace Brent Bzdell | Psychologist | 7 Somerset Ln, Scotia, NY 12302-2718 | 2020-05-07 |
| 1487297149 | Sarah Keyes | Dietitian, Registered | 129 Sanders Ave, Scotia, NY 12302-2227 | 2019-10-24 |
| 1275175416 | Julia Lindsay | Pharmacist | 703 Sacandaga Rd, Scotia, NY 12302-6026 | 2019-10-09 |
| 1699233122 | Deanna J Kremzier | Early Intervention Provider Agency | 107 N Toll St, Scotia, NY 12302-1519 | 2019-03-04 |
| 1386122513 | Casey Brooke Thompson | Specialist | 38 Sacandaga Rd, Scotia, NY 12302-1214 | 2018-07-31 |
| 1093202376 | Danielle Battease | Community/Behavioral Health | 205 Jay St, Scotia, NY 12302-1505 | 2018-04-22 |
| 1790280931 | Tamara L Kittle | Counselor | 36-38 Sacandaga Rd, Scotia, NY 12302-1893 | 2018-03-29 |
| Find all providers in SCOTIA | ||||
| 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 |
|---|---|---|---|---|
| 1891708194 | Golub Corporation | Pharmacy | 290 Saratoga Rd, Scotia, NY 12302-5019 | 2006-08-15 |
| 1275564320 | Kmart Corporation | Pharmacy | 210 Saratoga Rd, Scotia, NY 12302-4509 | 2006-07-06 |
| 1942246491 | Schenectady Cnty Glendl Nursing Fac | Pharmacy | 59 Hetcheltown Rd, Scotia, NY 12302-5506 | 2006-06-22 |
| 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 | ||||
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| 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.