Central Valley Longterm Care Pharmacy, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY44580 Issued in CA

Legal business name

CENTRAL VALLEY LONGTERM CARE PHARMACY, INC.

Doing business as

Valley Pharmacy Services

Practice address

500 N Garden Street
Ste 4
Visalia, CA 93291-5067

Phone

(559) 635-2674

Fax

(559) 635-2681

NPI assigned

Sep 20, 2006

Organization subpart

Yes

Parent organization

CENTRAL VALLEY LONGTERM CARE PHARMACY, INC.As reported in NPPES

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

Authorized official

Name

Ms. Bonnie J Wolfe

Title

Ceo

Phone

(559) 635-2674

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• VALLEY PHARMACY SERVICES Doing business as

Part of

Central Valley Longterm Care Pharmacy Inc

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1376640110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N GARDEN STREET",
            "address_2": "STE 4",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915067",
            "telephone_number": "559-635-2674",
            "fax_number": "559-635-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N GARDEN STREET",
            "address_2": "STE 4",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915067",
            "telephone_number": "559-635-2674",
            "fax_number": "559-635-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY LONGTERM CARE PHARMACY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL VALLEY LONGTERM CARE PHARMACY, INC.",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-635-2674",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY44580",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA445800",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2094390",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Visalia, CA
• Providers in Visalia, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.