NPIMap

Organization Active NPI

Student Health Services Phcy, Ca State University Chico

  • Pharmacy
  • Chico, CA
National Provider Identifier
1568613255
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHE40672 Issued in CA
Legal business name
STUDENT HEALTH SERVICES PHCY, CA STATE UNIVERSITY CHICO
Practice address
601 Warner STR Room 152
Chico, CA 95929-0001
Phone
(530) 898-6068
Fax
(530) 898-6731
NPI assigned
Oct 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Anel Anderson
Title
Pharmacist in Charge
Phone
(530) 898-3044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHE40672 CA Primary

Addresses

Primary practice location

601 Warner STR Room 152
Chico, CA 95929-0001

Mailing address

400 W 1St St
Chico, CA 95929-0001
Phone (530) 898-3044

Other identifiers 1

IdentifierTypeStateIssuer
5633359OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 3

  • STUDENT HEALTH SVC PHY-CA ST UNIV CHICO Doing business as
  • WellCat Health Center Pharmacy Doing business as
  • Chico State University Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
California State University Health Center3 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.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1568613255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 1ST ST",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959290001",
            "telephone_number": "530-898-3044",
            "fax_number": "530-898-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WARNER STR ROOM 152",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959290001",
            "telephone_number": "530-898-6068",
            "fax_number": "530-898-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDENT HEALTH SERVICES PHCY, CA STATE UNIVERSITY CHICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ANEL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "530-898-3044"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHE40672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5633359",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STUDENT HEALTH SVC PHY-CA ST UNIV CHICO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STUDENT HEALTH SVC PHY-CA ST UNIV CHICO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellCat Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chico State University",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.