TAHOE CITY PLAZA PHARMACY


Address: 599 North Lake Blvd, Tahoe City, CA 96145-7229
Phone: 5305833888

TAHOE CITY PLAZA PHARMACY (NPI# 1134297906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134297906
Entity Type Organization
Organization Name TAHOE CITY PLAZA PHARMACY
Other Organization Name TAHOE CITY COMPOUNDING PHARMACY
Practice Address 599 North Lake Blvd
Tahoe City
CA 96145-7229
Mailing Address Po Box 7229
Tahoe City
CA 96145-7229
Practice Telephone 5305833888
Practice Fax Number 5305831301
Mailing Telephone 5305833888
Mailing Fax Number 5305831301
Enumeration Date 2006-12-01
Last Update Date 2007-11-21
Authorized Official Name GARY P SABISTINA (PHARMACIST)
Authorized Official Telephone 5305833888
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
PHY 43340 CA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
CA DEA REGISTRATION NUMBER BT5961075 01
CA RETAIL PHARMACY PERMIT PHY 43340 01

Other Provider/Organization Names

Other Name Type Code
tahoe city compounding pharmacy Doing Business As Name - Organization

Office Location

Street Address 599 NORTH LAKE BLVD
City TAHOE CITY
State CA
Zip Code 96145-7229

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508279597 Gary Sabistina Pharmacist 599 North Lake Blvd, Tahoe City, CA 96145-0551 2014-06-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497389787 Jill Raduziner Nutritionist 410 Red Cedar St, Tahoe City, CA 96145 2020-02-26
1215321344 Stephanie May Massage Therapist 246 W. Lake Blvd, Suite 3b, Tahoe City, CA 96145 2015-03-26
1952738064 Travis Mary Mcguire Massage Therapist 2785 Sierra View Ave, Tahoe City, CA 96145 2013-10-03
1588009708 Lauren Corda Acupuncturist 635 Bliss Ct, Tahoe City, CA 96145 2013-05-01
1588902936 Nancy M Mcdonald Counselor 2690 Lake Forest Rd., Suite B, Tahoe City, CA 96145 2013-01-18
1649521956 Camille Mouchawar Obstetrics & Gynecology 3136 N. Lake Blvd, Tahoe City, CA 96145 2012-09-26
1124314968 Lauren Alexandra Crone Chiropractor 645 W Lake Blvd, Suite #3, Tahoe City, CA 96145 2011-06-20
1225322704 Hartwig Sonnenberg General Practice 2500 Hillcrest Avenie, 2500 Hillcrest Avenue, Tahoe City, CA 96145 2011-06-02
1336443852 Kathryn Hill Marriage & Family Therapist 2810 Lake Forest Rd., Tahoe City, CA 96145 2010-12-23
1417257445 Tyler Edward Lapkin Acupuncturist 925 North Lake Boulevard, B-207, Tahoe City, CA 96145 2010-10-25
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Taxonomy Information

Taxonomy Code 3336C0004X
Grouping Suppliers
Classification Pharmacy
Specialization Compounding Pharmacy

Taxonomy Definition

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609496215 Kaiser Foundation Hospitals Pharmacy 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 2020-04-23
1093278236 Gold Country Compounding LLC Pharmacy 11990 Heritage Oak Pl Ste 2c, Auburn, CA 95603-2405 2019-04-12
1669935177 Creative Care-rx, Inc. Pharmacy 3303 Harbor Blvd Ste C4, Costa Mesa, CA 92626-1518 2019-04-11
1396204095 Nordahl Pharmacy Corp Pharmacy 740 Nordahl Rd Ste 120, San Marcos, CA 92069-3545 2019-03-13
1104329820 Oz Med, Inc. Pharmacy 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 2018-03-09
1639688732 Cure Stat Rx Home Infusion and Specialty Pharmacy Inc Pharmacy 6725 Mesa Ridge Rd Ste 202&230, San Diego, CA 92121-2923 2017-09-21
1770010068 Onesource Compounding Pharmacy Pharmacy 104 Whispering Pines Dr Ste 105, Scotts Valley, CA 95066 2017-05-17
1326498619 Preferred Pharmacy Inc Pharmacy 3303 Harbor Blvd Ste H7, Costa Mesa, CA 92626-1523 2016-06-16
1720449267 Hot Springs Pharmacy Inc Pharmacy 13313 Palm Dr Ste A, Desert Hot Springs, CA 92240-5980 2016-03-11
1447619432 Qps Pharmacy Inc Pharmacy 18502 Beach Blvd, Suite 116, Huntington Beach, CA 92648-2019 2016-02-18
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Competitor

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City TAHOE CITY
Zip Code 96145

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Dataset Information

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.

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