TOWER PHARMACY, INC. (NPI# 1518992031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518992031 |
| Entity Type | Organization |
| Organization Name | TOWER PHARMACY, INC. |
| Other Organization Name | QUESENBERRYS PHARMACY |
| Practice Address |
12641 Bentley St Waterford CA 95386-9011 |
| Practice Telephone | 2098742138 |
| Practice Fax Number | 2098749853 |
| Mailing Telephone | 2098742138 |
| Mailing Fax Number | 2098749853 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-05-31 |
| Authorized Official Name | MR. DARIN LEON NELLE (PRESIDENT) |
| Authorized Official Telephone | 2098742138 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY50624 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHY369720 | 05 |
| Other Name | Type Code |
|---|---|
| QUESENBERRYS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194155697 | Tower Pharmacy, Inc. | Pharmacy | 1801 Colorado Ave, Suite 100, Turlock, CA 95382-2706 | 2013-11-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | TOWER PHARMACY, INC. | 255 Prudential Plz, Boston, MA 02199 |
| Street Address |
12641 BENTLEY ST |
| City | WATERFORD |
| State | CA |
| Zip Code | 95386-9011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336176122 | Maximilian A. Schanderl | Pharmacist | 12641 Bentley St, Waterford, CA 95386-9011 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366857658 | Diana Hollingshead-parker | Registered Nurse | 421 Tim Bell Rd, Waterford, CA 95386 | 2014-06-25 |
| 1497817407 | James Yamamoto | Dentist | 12142 Yosemite Blvd, Waterford, CA 95386 | 2006-12-15 |
| 1588664684 | Don Michael Endress | General Practice | 12700 Welch St, Waterford, CA 95386-8765 | 2005-07-29 |
| 1649527664 | Eric Gust Benson | Registered Nurse | 12700 Welch St, Waterford, CA 95386-8765 | 2012-08-08 |
| 1326106501 | Don Michael Endress M.d. | General Practice | 12700 Welch St, Waterford, CA 95386-8765 | 2006-12-04 |
| 1356686992 | Kimberlie Ann Payne | Occupational Therapy Assistant | 13209 Fountain Dr, Waterford, CA 95386-8858 | 2012-12-08 |
| 1518423631 | Gill Pharmacy Inc | Pharmacy | 12648 Bentley St, Waterford, CA 95386-9009 | 2019-02-13 |
| 1639709520 | Ravi Gandhi | Pharmacy | 12648 Bentley St, Waterford, CA 95386-9009 | 2020-01-20 |
| 1528433588 | Livingston Community Health | Clinic/Center | 12619 Bentley St, Waterford, CA 95386-9011 | 2015-12-02 |
| 1588762538 | Krishnamoorthi Krishnamoorthi | Internal Medicine | 324 F St, Waterford, CA 95386-9013 | 2006-09-20 |
| Find all providers in zip 95386 | ||||
| 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 |
|---|---|---|---|---|
| 1518423631 | Gill Pharmacy Inc | Pharmacy | 12648 Bentley St, Waterford, CA 95386-9009 | 2019-02-13 |
| 1942708607 | Gary Jules Bango | Pharmacy | 155 Waterford Parkway N, Waterford, CT 06385-1208 | 2018-01-29 |
| 1003272436 | Lakeview Pharmacy, LLC | Pharmacy | 3901 Highland Rd Ste D2, Waterford, MI 48328-2162 | 2016-01-14 |
| 1841674868 | Noble Care Apothecary PC | Pharmacy | 7362 Highland Rd, Waterford, MI 48327-1508 | 2015-07-20 |
| 1861817975 | H & P Food Town Pharmacy Inc | Pharmacy | 7300 Highland Rd Ste A, Waterford, MI 48327-1508 | 2014-02-26 |
| 1275718686 | Genoa Healthcare, LLC | Pharmacy | 279 Summit Dr Ste 200, Waterford, MI 48328-3364 | 2008-01-03 |
| 1063524916 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 4300 Dixie Hwy, Waterford, MI 48329-4070 | 2006-08-31 |
| 1447362371 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 7960 Cooley Lake Rd, Waterford, MI 48327-4184 | 2006-08-31 |
| 1639709520 | Ravi Gandhi | Pharmacy | 12648 Bentley St, Waterford, CA 95386-9009 | 2020-01-20 |
| 1124413158 | Jwa Services Inc | Pharmacy | 92 Boston Post Rd, Waterford, CT 06385-2421 | 2015-04-07 |
| Find all providers in WATERFORD | ||||
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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.