CORRECTIONS AND REHABILITATION


Address: 19005 Wileys Well Road, Blythe, CA 92225
Phone: 7609213000

CORRECTIONS AND REHABILITATION (NPI# 1356976179) 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) 1356976179
Entity Type Organization
Organization Name CORRECTIONS AND REHABILITATION
Practice Address 19005 Wileys Well Road
Blythe
CA 92225
Practice Telephone 7609213000
Practice Fax Number 7609214377
Mailing Telephone 7609213000
Mailing Fax Number 7609214377
Enumeration Date 2020-03-12
Last Update Date 2020-03-12
Authorized Official Name DR. ROBERT STEVEN THARRATT (STATEWIDE CHIEF MEDICAL EXECUTIVE)
Authorized Official Telephone 9166919913
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name CORRECTIONS AND REHABILITATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 333600000X Pharmacy Suppliers

Other Provider/Organization Names

Other Name Type Code
Ironwood State Prison Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578199741 Corrections and Rehabilitation Pharmacy 16756 Chino Corona Road, Corona, CA 92880 2020-03-19
1275169005 Corrections and Rehabilitation Pharmacy 481 Alta Road, Facility E, Facility Support Building, Room A161, San Diego, CA 92179 2020-03-12
1265067086 Corrections and Rehabilitation Pharmacy 7018 Blair Road, Calipartia, CA 92233 2020-03-12
1134754955 Corrections and Rehabilitation Pharmacy 22844 Virginia Blvd., California City, CA 93505 2020-03-12
1831724657 Corrections and Rehabilitation Pharmacy 570 E. Natoma Street, Folsom, CA 95630 2020-03-12
1427684257 Corrections and Rehabilitation Pharmacy 24863 W. Jayne Avenue, Coalinga, CA 93210 2020-03-12
1326673146 Corrections and Rehabilitation Pharmacy 23500 Kasson Rd Rm 180, Tracy, CA 95304-9595 2020-03-12
1528694379 Corrections and Rehabilitation Pharmacy 21633 Avenue 24 Bldg 1101 Rm 173, Chowchilla, CA 93610-0099 2020-03-12
1417583287 Corrections and Rehabilitation Pharmacy 31626 Highway 101 Dmh Administration Ste 606, Soledad, CA 93960-1020 2020-03-12
1962037887 Corrections and Rehabilitation Pharmacy 14901 So Central Avenue, Chino, CA 91710 2020-03-11

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CORRECTIONS AND REHABILITATION, DEPARTMENT OF 560 E Natoma St, Folsom, CA 95630-2233

Office Location

Street Address 19005 WILEYS WELL ROAD
City BLYTHE
State CA
Zip Code 92225

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467943811 County of Riverside Community/Behavioral Health 249 N Spring St, Blythe, CA 92225 2018-05-22
1760890982 Keith Hoyt Wells I Pharmacist 616 E. Hobson Way, Blythe, CA 92225 2014-07-31
1447673967 Silvia Herrera Nurse Practitioner 332 W Hobson Way, Blythe, CA 92225 2014-02-04
1821262767 Marvin Paul Vernon Social Worker 246 N Hobson Way, Blythe, CA 92225 2008-04-22
1083882492 Blythe Eye Care Medical Group Optometrist 600 E Hobson Way, Blythe, CA 92225 2008-02-19
1215159553 Douglas John Meyer Physical Therapist 205 N. First Street, Suite E, Blythe, CA 92225 2007-05-03
1598895955 Emmanuel R Mofu Family Medicine 495 North Main Street, Blythe, CA 92225 2007-03-06
1154408961 Sheereen Ahranjani Social Worker 1297 W. Hobsonway, Blythe, CA 92225 2006-11-01
1326123399 Salud Family Medicine 176 S Palm Drive, Blythe, CA 92225 2006-10-26
1811097652 J & R Unity Inc Durable Medical Equipment & Medical Supplies 301 W Hobsonway, Blythe, CA 92225 2006-09-22
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912367061 Salinas Pharmacy Inc Pharmacy 507 E Hobsonway, Blythe, CA 92225-1736 2016-03-02
1366761850 Austin's Pharmacy Inc. Pharmacy 1345 W Hobsonway, Blythe, CA 92225-1425 2010-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114528940 Kaiser Foundation Health Plan Inc Pharmacy 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 2020-11-06
1891394128 Scriptdash Inc Pharmacy 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 2020-10-19
1235736737 Scriptdash Inc Pharmacy 2360 Qume Dr, San Jose, CA 95131-1838 2020-10-07
1023615150 Kaiser Foundation Health Plan Inc Pharmacy 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 2020-10-01
1033725478 Happy Med Inc. Pharmacy 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 2020-09-21
1366058794 Joanna Jongae Kim Pharmacy 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 2020-09-21
1114532231 Prime Rx San Gabriel, Inc. Pharmacy 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 2020-09-15
1164034260 Tin Rx At The Tower Inc. Pharmacy 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 2020-08-19
1144831702 Cameron Michael Rehmani Seraji Pharmacy 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 2020-08-16
1881204907 Kaiser Foundation Health Plan Inc Pharmacy 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 2020-08-04
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Competitor

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City BLYTHE
Zip Code 92225

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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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