1952401721 NPI number — DRUG THERAPY SYSTEMS COMPANY

Table of content: (NPI 1952401721)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952401721 NPI number — DRUG THERAPY SYSTEMS COMPANY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DRUG THERAPY SYSTEMS COMPANY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CHICO PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952401721
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/09/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
251 COHASSET RD
Provider Second Line Business Mailing Address:
STE 100
Provider Business Mailing Address City Name:
CHICO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95926-2241
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-343-4440
Provider Business Mailing Address Fax Number:
530-343-4449

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
251 COHASSET RD
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
CHICO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95926-2241
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-343-4440
Provider Business Practice Location Address Fax Number:
530-343-4449
Provider Enumeration Date:
09/22/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BALBUTIN
Authorized Official First Name:
JANET
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/PIC
Authorized Official Telephone Number:
530-343-4440

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: PHY46018 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336L0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PHA46018 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2066931 . This is a "PK" identifier . This identifiers is of the category "OTHER".