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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PHY 43340 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | DEA REGISTRATION NUMBER | BT5961075 | 01 |
CA | RETAIL PHARMACY PERMIT | PHY 43340 | 01 |
Other Name | Type Code |
---|---|
tahoe city compounding pharmacy | Doing Business As Name - Organization |
Street Address |
599 NORTH LAKE BLVD |
City | TAHOE CITY |
State | CA |
Zip Code | 96145-7229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508279597 | Gary Sabistina | Pharmacist | 599 North Lake Blvd, Tahoe City, CA 96145-0551 | 2014-06-06 |
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 |
Find all providers in zip 96145 |
Taxonomy Code | 3336C0004X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Compounding Pharmacy |
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] |
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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 |
Find all providers with the same taxonomy |
City | TAHOE CITY |
Zip Code | 96145 |
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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.