PALO CEDRO PHARMACY (NPI# 1578604435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578604435 |
| Entity Type | Organization |
| Organization Name | PALO CEDRO PHARMACY |
| Other Organization Name | PALO CEDRO PHARMACY |
| Practice Address |
9180 Deschutes Rd Palo Cedro CA 96073-8716 |
| Practice Telephone | 5305474465 |
| Practice Fax Number | 5305474560 |
| Mailing Telephone | 5305474465 |
| Mailing Fax Number | 5305474560 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2010-06-16 |
| Authorized Official Name | DEAN WOFFORD (OWNER) |
| Authorized Official Telephone | 5305474465 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY47063 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0552807 | 01 | |
| CA | PHA470630 | 05 |
| Other Name | Type Code |
|---|---|
| PALO CEDRO PHARMACY | Doing Business As Name - Organization |
| Street Address |
9180 DESCHUTES RD |
| City | PALO CEDRO |
| State | CA |
| Zip Code | 96073-8716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326447707 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 9340 Deschutes Rd, Palo Cedro, CA 96073 | 2014-08-21 |
| 1922250570 | Douglas Gail Hufnagel | Dentist | 9434 Deschutes Rd, Palo Cedro, CA 96073 | 2008-10-15 |
| 1730240383 | Gayle Marie Coons | Counselor | 10715 Deschutes Rd., Palo Cedro, CA 96073-0117 | 2006-12-13 |
| 1740310069 | Jamie J Smith | Chiropractor | 9384 Deschutes Rd Ste E, Palo Cedro, CA 96073-7703 | 2007-03-06 |
| 1073541140 | Todd Edward Wood | Physical Therapist | 22038 Old 44 Dr, Palo Cedro, CA 96073-8707 | 2006-06-29 |
| 1295233401 | Palo Cedro Dental Care | Dentist | 9348 Deschutes Rd Ste A, Palo Cedro, CA 96073-8730 | 2018-01-23 |
| 1588824361 | Hal Yingling | Physician Assistant | 9164 Deschutes Rd, Suite F, Palo Cedro, CA 96073-8732 | 2008-06-14 |
| 1851551634 | Cheri E Hougland | Physician Assistant | 9164 Deschutes Rd, Palo Cedro, CA 96073-8732 | 2008-06-14 |
| 1295006518 | Jamie J Smith Chiropractic Inc | Chiropractor | 9384 Deschutes Rd, Ste E, Palo Cedro, CA 96073-8754 | 2012-01-18 |
| 1477627594 | Palo Cedro Physical Therapy | Physical Therapist | 9384 Deschutes Rd Ste E, Palo Cedro, CA 96073-8754 | 2006-11-20 |
| Find all providers in zip 96073 | ||||
| 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 |
|---|---|---|---|---|
| 1912395229 | Owens Healthcare - Retail Pharmacy, Inc | Pharmacy | 9387 Deschutes Rd Ste 1, Palo Cedro, CA 96073-9711 | 2015-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | PALO CEDRO |
| Zip Code | 96073 |
Please comment or provide details below to improve the information on PALO CEDRO 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.