NPIMap

Organization Active NPI

Cobblestone Pharmacy

  • Community/Retail Pharmacy
  • Paradise, CA
National Provider Identifier
1770598153
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY37092 Issued in CA
Legal business name
COBBLESTONE PHARMACY
Practice address
6585 Clark Rd
Suite 100
Paradise, CA 95969-3500
Phone
(530) 877-3712
Fax
(530) 877-5739
NPI assigned
Jul 31, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Dana Burton Caldwell, PHARM.D.NPI 1114934627
Title
Owner/Pharmacist
Phone
(530) 877-3712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY37092 CA Primary

Addresses

Primary practice location

6585 Clark Rd
Suite 100
Paradise, CA 95969-3500

Mailing address

6585 Clark Rd
Suite 100
Paradise, CA 95969-3500
Phone (530) 877-3712

Other identifiers 3

IdentifierTypeStateIssuer
05-30281OtherCANCPDP NUMBER
PHA370920MedicaidCA
PHY37092OtherCAPHARMACY LICENSE/PERMIT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1770598153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 CLARK RD",
            "address_2": "SUITE 100",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693500",
            "telephone_number": "530-877-3712",
            "fax_number": "530-877-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 CLARK RD",
            "address_2": "SUITE 100",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693500",
            "telephone_number": "530-877-3712",
            "fax_number": "530-877-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBBLESTONE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "530-877-3712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY37092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "05-30281",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA370920",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE/PERMIT",
            "identifier": "PHY37092",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.