INDIAN HEALTH COUNCIL PHARMACY (NPI# 1821030446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821030446 |
| Entity Type | Organization |
| Organization Name | INDIAN HEALTH COUNCIL PHARMACY |
| Other Organization Name | INDIAN HEALTH COUNCIL PHARMACY |
| Practice Address |
50100 Golsh Rd Valley Center CA 92082 |
| Mailing Address |
Po Box 406 Pauma Valley CA 92061-0406 |
| Practice Telephone | 7607491410 |
| Practice Fax Number | 7607490225 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2015-11-09 |
| Authorized Official Name | ROBERT SCHOSTAG (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 7607491410 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | PHE30519 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1997745 | 01 | |
| CA | PHA305190 | 05 |
| Other Name | Type Code |
|---|---|
| INDIAN HEALTH COUNCIL PHARMACY | Doing Business As Name - Organization |
| Street Address |
50100 GOLSH RD |
| City | VALLEY CENTER |
| State | CA |
| Zip Code | 92082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009349 | Barbara Jane Kabes | Dentist | 50100 Golsh Rd, Valley Center, CA 92082-5338 | 2005-08-09 |
| 1366054355 | Julie Trang | Dental Hygienist | 50100 Golsh Rd, Valley Center, CA 92082-5338 | 2020-08-20 |
| 1760094734 | Maria Villegas | Health Educator | 50100 Golsh Rd, Valley Center, CA 92082-5338 | 2020-08-20 |
| 1619589678 | Raelynn Marie Lavine | Registered Nurse | 50100 Golsh Rd, Valley Center, CA 92082-5338 | 2020-08-20 |
| 1821600883 | Janie Ogilvie | Registered Nurse | 50100 Golsh Rd, Valley Center, CA 92082-5338 | 2020-08-20 |
| 1295344729 | Brynne Jeanette Meza | Dental Hygienist | 50100 Golsh Rd, Valley Center, CA 92082-5338 | 2020-07-30 |
| 1932767373 | Paul Anthony Gonzalez | Counselor | 50100 Golsh Rd, Valley Center, CA 92082-5338 | 2019-05-31 |
| 1295224459 | Margaret Louise Richards | Registered Nurse | 50100 Golsh Rd, Valley Center, CA 92082-5338 | 2018-05-03 |
| 1245733286 | Andres Jesus Munoz | Community Health Worker | 50100 Golsh Rd, Valley Center, CA 92082-5338 | 2018-03-15 |
| 1346742178 | Lorelei Lazarte Legaspi | Community Health Worker | 50100 Golsh Rd, Valley Center, CA 92082-5338 | 2018-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851757322 | Janet Angel Nelson | Counselor | 50100 Golsh Rd., Valley Center, CA 92082 | 2016-01-13 |
| 1821279043 | Penny Blazej Licensed Clinical Social Worker Prof Corp | Social Worker | 28714 Valley Center Road, Suite E, Valley Center, CA 92082 | 2007-11-15 |
| 1255476867 | Robert Glenn Vertrees | Chiropractor | 27940 Valley Center Road, Valley Center, CA 92082 | 2007-02-21 |
| 1548317100 | Valley Center-pauma Unified School District | Local Education Agency (LEA) | 28751 Cole Grade Rd., Valley Center, CA 92082 | 2007-01-05 |
| 1023191137 | John Ernest Geis | Dentist | 50100 Golsh Road, Indian Health Council Dental Dept, Valley Center, CA 92082 | 2006-10-23 |
| 1831610864 | Misty Shasceen Taylor | Social Worker | 50100 Golsh Road, Valley Center, CA 92082 | 2017-06-29 |
| 1750437612 | Daniel J. Lee | Dentist | 10416 Couser Way, Valley Center, CA 92082-3018 | 2007-01-25 |
| 1861838930 | Daniel Lee | Dentist | 10416 Couser Way, Valley Center, CA 92082-3018 | 2013-05-16 |
| 1265696272 | Barbara Janet Clarke | Registered Nurse | 11060 San Luis Rey Dr, Valley Center, CA 92082-3127 | 2008-07-18 |
| 1972121572 | Stephanie Marie Lastra | Massage Therapist | 33319 Lilac Rd, Valley Center, CA 92082-3213 | 2020-07-09 |
| Find all providers in zip 92082 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598108847 | Hometown Ltc Pharmacy Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1450 W Mccoy Ln Ste B, Santa Maria, CA 93455-1059 | 2013-04-16 |
| 1144873811 | Hometown Ltc Pharmacy Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1009 E Grand Ave, Arroyo Grande, CA 93420-2504 | 2019-07-22 |
| 1407252588 | Ihc Santa Ysabel Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 110 1/2 School House Canyon Road, Santa Ysabel, CA 92070 | 2014-11-17 |
| 1053484998 | Susanville Indian Rancheria | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 795 Joaquin St, Susanville, CA 96130-3628 | 2006-11-16 |
| 1982782256 | United Indian Health Services Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1600 Weeot Way, Arcata, CA 95521-4734 | 2006-11-02 |
| 1699881540 | Tuolumne Me-wuk Indian Health Center Incorporated | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 18880 Cherry Valley Blvd, Tuolumne, CA 95379-9506 | 2006-08-22 |
| City | VALLEY CENTER |
| Zip Code | 92082 |
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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.