NPIMap

Organization Active NPI

Petaluma Health Center, Inc.

Doing business as Point Reyes Community Health Center Pharmacy

  • Community/Retail Pharmacy
  • Point Reyes Station, CA
National Provider Identifier
1801777438
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PETALUMA HEALTH CENTER, INC.
Doing business as
Point Reyes Community Health Center Pharmacy
Practice address
11 4TH Street, Suite 1
Point Reyes Station, CA 94956
Phone
(707) 559-7500
NPI assigned
Sep 10, 2025
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Molly Jouaneh, CMA
Title
Chief Financial Officer
Phone
(707) 559-7578

Specialties & licenses 1

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

Addresses

Primary practice location

11 4TH Street, Suite 1
Point Reyes Station, CA 94956

Mailing address

1179 North McDowell Blvd.
Petaluma, CA 94954

Other names 1

  • Point Reyes Community Health Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Petaluma Health Center Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1801777438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 NORTH MCDOWELL BLVD.",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 4TH STREET, SUITE 1",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "94956",
            "telephone_number": "707-559-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETALUMA HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "JOUANEH",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "707-559-7578",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Point Reyes Community Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Point Reyes Station, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.