Kalina S Cover, RPH

Individual provider Active NPI Pharmacist · Riverbank, CA

NPI 1407926314 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1407926314
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
50186 (CA)
Practice address
6331 Oakdale Rd
Riverbank, CA 95367-9646
Phone
(209) 869-9055
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
50186CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
O'Briens Market, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 50186 CA Yes

Addresses

Primary practice location

6331 Oakdale Rd
Riverbank, CA 95367-9646

Mailing address

2342 Dakota Ave
Modesto, CA 95358-9781
Phone (209) 521-2556

Other providers in Riverbank, CA

All providers in Riverbank, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.