PHARMERICA DRUG SYSTEMS LLC (NPI# 1396778965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396778965 |
| Entity Type | Organization |
| Organization Name | PHARMERICA DRUG SYSTEMS LLC |
| Other Organization Name | PHARMERICA |
| Practice Address |
873 Ricardo Ct San Luis Obispo CA 93401-7174 |
| Mailing Address |
805 N Whittington Pkwy Louisville KY 40222-7101 |
| Practice Telephone | 8055435981 |
| Practice Fax Number | 8055461979 |
| Mailing Telephone | 5026277000 |
| Mailing Fax Number | 5026277401 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | STEVEN S. REED (VICE PRESIDENT) |
| Authorized Official Telephone | 5023942100 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHARMERICA CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHY48712 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHARMACY LICENSE | PHY48712 | 01 |
| CA | STERILE COMPOUNDING LICENSE | LSC99597 | 01 |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0589513 | 01 | |
| CA | PHA460590 | 05 |
| Other Name | Type Code |
|---|---|
| PHARMERICA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033139944 | Pharmerica Drug Systems LLC | Pharmacy | 9386 Hardy Road, Vinton, VA 24179 | 2006-07-20 |
| 1487687059 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 775 Bell Rd, Sarasota, FL 34240-9509 | 2006-07-08 |
| 1619900297 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 6113 43rd St, Suite D, Lubbock, TX 79407-3747 | 2006-07-08 |
| 1023041696 | Pharmerica Drug Systems LLC | Pharmacy | 1041 Elkton Dr, Suite A, Colorado Springs, CO 80907-3539 | 2006-07-08 |
| 1184657769 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 153 Stewart Rd, Hanover Township, PA 18706-1486 | 2006-07-08 |
| 1114950789 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 11205 Knott Ave, Suite C, Cypress, CA 90630-5489 | 2006-07-08 |
| 1891728473 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 305 Seaboard Ln, Suite 318, Franklin, TN 37067-8287 | 2006-07-08 |
| 1376576959 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 4575 44th St Se, Suite A, Grand Rapids, MI 49512-4080 | 2006-07-08 |
| 1710910393 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 489 Shoemaker Rd, Suite 106, King of Prussia, PA 19406-4235 | 2006-07-08 |
| 1588697155 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 8930 Activity Rd, Suite K, San Diego, CA 92126-4457 | 2006-07-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | PharMerica Drug Systems LLC | 2626 Glenwood Avenue Suite 550, Raleigh, NC 27608 |
| Virginia Business Entities | PharMerica Drug Systems LLC | 1901 Campus Pl, Louisville, Kentucky 40299 |
| Street Address |
873 RICARDO CT |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-7174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578092888 | Helen Yeo | Pharmacist | 873 Ricardo Ct, San Luis Obispo, CA 93401-7174 | 2017-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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: new] |
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| 1972128676 | Maggie's Pharmacy Inc | Pharmacy | 2315 Kuehner Dr Ste 108, Simi Valley, CA 93063-3960 | 2020-06-09 |
| 1629604368 | Jafa Pharmaceuticals, Inc. | Pharmacy | 95 Montgomery Dr Ste 108, Santa Rosa, CA 95404-6617 | 2020-03-13 |
| 1669019113 | Shanzo Inc | Pharmacy | 6255 University Ave Ste A1, San Diego, CA 92115-5727 | 2019-12-03 |
| 1265077283 | Western Pharmacy Group LLC | Pharmacy | 610 Gateway Center Way Ste H-i, San Diego, CA 92102-4533 | 2019-11-13 |
| 1083255129 | Desert Best Pharmacy, Inc. | Pharmacy | 170 E Tahquitz Canyon Way, Palm Springs, CA 92262-6431 | 2019-09-30 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on PHARMERICA DRUG SYSTEMS LLC.
| 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.