| NPI | 1063894756 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2015-06-18 |
| Last Updated | 2022-09-15 |
| Authorized Official | Michael Brown Vice President, Managed Services Phone: 2817494764 |
| Mailing Address | 13651 Dublin Ct Stafford, TX 77477-4317 United States Phone: (281) 749-4000 | Fax: (614) 652-0326 📍 View Map |
| Primary Practice Address | 844 Old Tunnel Rd Grass Valley, CA 95945-8524 United States Phone: (530) 273-0182 | Fax: (530) 273-0698 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 2154184 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | CA | 53768 |
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About NPI 1063894756
Clinic Pharmacies Iii Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1063894756. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Grass Valley, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-06-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063894756?
NPI 1063894756 belongs to Clinic Pharmacies Iii Llc, a Pharmacy, Community/Retail Pharmacy in Grass Valley, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063894756 active?
The current status of NPI 1063894756 in the NPPES registry is Active. The record was last updated on 2022-09-15.
What specialty is NPI 1063894756?
NPI 1063894756 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063894756?
You can verify NPI 1063894756 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063894756?
The primary practice address on file for NPI 1063894756 is 844 Old Tunnel Rd, Grass Valley, CA 95945-8524. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063894756 issued?
NPI 1063894756 was first issued (enumerated) on 2015-06-18. The NPPES record was last updated on 2022-09-15.
Practice Location Map
Clinic Pharmacies Iii Llc is located at 844 Old Tunnel Rd, Grass Valley, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Clinic Pharmacies Iii Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063894756. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 53768 | CA |