NPIMap

Organization Active NPI

County of San Joaquin

Doing business as Correctional Healthcare Pharmacy

  • Clinic Pharmacy
  • French Camp, CA
National Provider Identifier
1407992019
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
LCF37855 Issued in CA
Legal business name
COUNTY OF SAN JOAQUIN
Doing business as
Correctional Healthcare Pharmacy
Practice address
7000 Michael Canlis Way
French Camp, CA 95231-9781
Phone
(209) 468-4761
Fax
(209) 468-4772
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Javier Guerrero, PHARMDNPI 1972325090
Title
Pharmacy Manager
Phone
(209) 468-4761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X LCF37855 CA Primary
Institutional Pharmacy 3336I0012X

Addresses

Primary practice location

7000 Michael Canlis Way
French Camp, CA 95231-9781

Mailing address

7000 Michael Canlis Way
French Camp, CA 95231-9781
Phone (209) 468-4761

Other identifiers 1

IdentifierTypeStateIssuer
2001271OtherPK

Other names 1

  • CORRECTIONAL HEALTHCARE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Joaquin Cnty HLTH94 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1407992019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 MICHAEL CANLIS WAY",
            "city": "FRENCH CAMP",
            "state": "CA",
            "postal_code": "952319781",
            "telephone_number": "209-468-4761",
            "fax_number": "209-468-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 MICHAEL CANLIS WAY",
            "city": "FRENCH CAMP",
            "state": "CA",
            "postal_code": "952319781",
            "telephone_number": "209-468-4761",
            "fax_number": "209-468-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN JOAQUIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "209-468-4761",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CA",
            "license": "LCF37855",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2001271",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORRECTIONAL HEALTHCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in French Camp, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.