Tulare Local Health Care District

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY46488 Issued in CA

Legal business name

TULARE LOCAL HEALTH CARE DISTRICT

Practice address

906 N Cherry St
Tulare, CA 93274-2210

Phone

(559) 684-7979

Fax

(559) 684-1157

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Kevin Shimamoto, PHARMD

Title

Interim Ceo

Phone

(559) 688-0821

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Tulare's Pharmacy Doing business as

Tax ID family

Tulare District Hosp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Tulare Local Health Care District

  • Rural Health Clinic/Center
  • Tulare, CA
  • NPI 1245574458
  NPD tax ID
• Tulare Local Health Care District

  • General Acute Care Hospital
  • Tulare, CA
  • NPI 1336483544
  NPD tax ID

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1508909664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742210",
            "telephone_number": "559-684-7979",
            "fax_number": "559-684-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742210",
            "telephone_number": "559-684-7979",
            "fax_number": "559-684-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULARE LOCAL HEALTH CARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "SHIMAMOTO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "559-688-0821",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5420935",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5601314",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tulare's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tulare Local Health Care District
• Tulare Local Health Care District
• Tulare Local Health Care District
• Tulare Local Health Care District
• Tulare Local Health Care District
• Tulare Local Health Care District
• Tulare Local Health Care District
• Tulare Local Health Care District
• Tulare Local Hospital District 4858
• Tulare Walk-in Clinic & Wellness Center Inc.

• Community/Retail Pharmacy in Tulare, CA
• Providers in Tulare, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.