Senior Care Pharmacy of the West, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SENIOR CARE PHARMACY OF THE WEST, LLC

Practice address

927 Industrial Way
Lodi, CA 95240-3105

Phone

(888) 915-3566

Fax

(888) 692-5991

NPI assigned

Oct 10, 2011

Organization subpart

Yes

Parent organization

SENIOR CARE PHARMACY OF THE WEST, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Glen Keith Anderson, RPH

Title

Executive Director

Phone

(801) 410-1980

Specialties & licenses 2

Addresses

Tax ID family

Senior Care Pharmacy of the West LLC2 organizations share this tax ID, including this one

Part of

Senior Care Pharmacy of the West LLC

Other organizations with this tax ID 1

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

• Senior Care Pharmacy of the West LLC

  • Long Term Care Pharmacy
  • Salt Lake City, UT
  • NPI 1932404126
  NPD tax ID

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1568746410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 INDUSTRIAL WAY",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403105",
            "telephone_number": "888-915-3566",
            "fax_number": "888-692-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 INDUSTRIAL WAY",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403105",
            "telephone_number": "888-915-3566",
            "fax_number": "888-692-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE PHARMACY OF THE WEST, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR CARE PHARMACY OF THE WEST, LLC",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-410-1980",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Scully, MS, OTR/L
• Kari Ann Seaton
• Dustin Seibel, ATC
• Colleen Adair Selling, SLP
• Michael Joseph Semione, M.S. COUNSELING
• Simran Sethi, M.D.
• Hazoor Shah
• Share Homes
• Beien Shi
• Mackenzie Shiba, M.S. CCC-SLP

• Long Term Care Pharmacy in Lodi, CA
• Providers in Lodi, 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 Oct 10, 2011; 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.