Timothy Alfred
Individual provider Active NPI Pharmacist · Grass Valley, CA
NPI 1730740606 · NPPES record last updated Jun 21, 2019
Key facts
- NPI
- 1730740606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 57058 (CA)
- Practice address
- 2054 Nevada City Hwy
Grass Valley, CA 95945-7700 - Phone
- (530) 477-6857
- NPI assigned
- Jun 21, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57058 | CA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 57058 | CA | Yes |
Addresses
Primary practice location
2054 Nevada City Hwy
Grass Valley, CA 95945-7700
Mailing address
2054 Nevada City Hwy
Grass Valley, CA 95945-7700
Other providers in Grass Valley, CA
- Virgina Louise Ahrenholtz
- Kim Albanese
- David Jay Albertson
- Mariya Alder
- Mireya Alejo Marcet
- All About Care
- Alison May Allen
- Brian Allen
- Katrina Marie Allen
- Megan Allen
All providers in Grass Valley, CA · Pharmacist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.