Paul Nave, RPH
Individual provider Active NPI Pharmacist · Needles, CA
NPI 1801181763 · NPPES record last updated Jun 17, 2011
Key facts
- NPI
- 1801181763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 21878 (CA)
- Practice address
- 1020 E Broadway St
Needles, CA 92363-3809 - Phone
- (928) 566-4701
- NPI assigned
- Jun 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21878 | CA | Yes |
Addresses
Primary practice location
1020 E Broadway St
Needles, CA 92363-3809
Mailing address
1020 E Broadway St
Needles, CA 92363-3809
Phone (928) 566-4701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21878 | Other | CA | PHARMACY |
Other providers in Needles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2011. 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.