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Export Provider Record NPI 1376640110
Central Valley Longterm Care Pharmacy, Inc.
Organization Subpart: YES
Active
NPI Number1376640110
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Long Term Care Pharmacy
Provider Details
NPI1376640110
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-09-20
Last Updated2024-05-03
Authorized OfficialBonnie Wolfe
CEO
Phone: 5596352674
Mailing Address500 N Garden Street, Ste 4
Visalia, CA 93291-5067
United States
Phone: (559) 635-2674 | Fax: (559) 635-2681
📍 View Map
Primary Practice Address500 N Garden Street, Ste 4
Visalia, CA 93291-5067
United States
Phone: (559) 635-2674 | Fax: (559) 635-2681
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)-2094390PK
MEDICAIDCAPHA445800-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No333600000X – Pharmacy--
Yes3336L0003X – Pharmacy, Long Term Care PharmacyCAPHY44580
No3336S0011X – Pharmacy, Specialty Pharmacy--
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About NPI 1376640110

Central Valley Longterm Care Pharmacy, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1376640110. The primary specialty listed is Pharmacy, Long Term Care Pharmacy. The organization is located in Visalia, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1376640110?

NPI 1376640110 belongs to Central Valley Longterm Care Pharmacy, Inc., a Pharmacy, Long Term Care Pharmacy in Visalia, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1376640110 active?

The current status of NPI 1376640110 in the NPPES registry is Active. The record was last updated on 2024-05-03.

What specialty is NPI 1376640110?

NPI 1376640110 is classified under the taxonomy Pharmacy, Long Term Care 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 1376640110?

You can verify NPI 1376640110 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 1376640110?

The primary practice address on file for NPI 1376640110 is 500 N Garden Street, Visalia, CA 93291-5067. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1376640110 issued?

NPI 1376640110 was first issued (enumerated) on 2006-09-20. The NPPES record was last updated on 2024-05-03.

Practice Location Map

Central Valley Longterm Care Pharmacy, Inc. is located at 500 N Garden Street, Visalia, CA. Use the map below to find directions or verify the practice location.

📍 500 N Garden Street, Visalia, CA 93291-5067  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Central Valley Longterm Care Pharmacy, Inc.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1376640110. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Long Term Care PharmacyPHY44580CA
Data Verified from CMS NPPES Last synced: 2026-08-21 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162