NPIMap

Organization Active NPI

State of California

Doing business as Student Health Services Csu Long Beach

  • Institutional Pharmacy
  • Long Beach, CA
National Provider Identifier
1114143690
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
PHE14217 Issued in CA
Legal business name
STATE OF CALIFORNIA
Doing business as
Student Health Services Csu Long Beach
Practice address
1250 N Bellflower Blvd
Long Beach, CA 90840-0004
Phone
(562) 985-1561
Fax
(562) 985-8404
NPI assigned
Apr 17, 2007
Last updated
Aug 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathy Chen
Title
Pharmacy Manager
Phone
(562) 985-7899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X PHE14217 CA Primary

Addresses

Primary practice location

1250 N Bellflower Blvd
Long Beach, CA 90840-0004

Mailing address

1250 N Bellflower Blvd
Long Beach, CA 90840-0004
Phone (562) 985-1561

Other identifiers 2

IdentifierTypeStateIssuer
2051704OtherPK
PHE142170MedicaidCA

Other names 1

  • STUDENT HEALTH SERVICES CSU LONG BEACH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
State of California2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1114143690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 N BELLFLOWER BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908400004",
            "telephone_number": "562-985-1561",
            "fax_number": "562-985-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 N BELLFLOWER BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908400004",
            "telephone_number": "562-985-1561",
            "fax_number": "562-985-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "562-985-7899"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "CA",
            "license": "PHE14217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2051704",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHE142170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STUDENT HEALTH SERVICES CSU LONG BEACH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.