NPIMap

Organization Active NPI

Kaweah Delta Health Care District

  • Institutional Pharmacy
  • Visalia, CA
National Provider Identifier
1609038751
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
HPE46596 Issued in CA
Legal business name
KAWEAH DELTA HEALTH CARE DISTRICT
Practice address
1633 S Court St
Visalia, CA 93277-4945
Phone
(559) 624-2000
NPI assigned
Jun 30, 2008
Last updated
Jun 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Authorized official

Name
Malinda Tupper
Title
SRVP Chief Financial Officer
Phone
(559) 624-4065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X HPE46596 CA Primary

Addresses

Primary practice location

1633 S Court St
Visalia, CA 93277-4945

Mailing address

400 W Mineral King Ave
Visalia, CA 93291-6237

Other identifiers 1

IdentifierTypeStateIssuer
PHB342090MedicaidCA

Other names 1

  • Kaweah Health South Campus Pharmacy Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address providerenrollment@kdhcd.org

National Provider Directory

National Provider Directory
Tax ID family
Kaweah Delta Non Inv Ca27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1609038751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MINERAL KING AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 S COURT ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774945",
            "telephone_number": "559-624-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAWEAH DELTA HEALTH CARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "TUPPER",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_title_or_position": "SRVP CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "559-624-4065"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "CA",
            "license": "HPE46596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHB342090",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "providerenrollment@kdhcd.org",
            "affiliation": "N",
            "address_1": "1633 S Court St",
            "city": "Visalia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932774945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaweah Health South Campus Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.