California State University Bakersfield

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

License

PHE19592 Issued in CA

Legal business name

CALIFORNIA STATE UNIVERSITY BAKERSFIELD

Doing business as

California State College Bakersfield

Practice address

9001 Stockdale Hwy
28HC
Bakersfield, CA 93311-1022

Phone

(661) 654-3304

Fax

(661) 654-2573

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Alan Witherell, PHARMD

Title

Pharmacist in Charge

Phone

(661) 654-3304

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CALIFORNIA STATE COLLEGE BAKERSFIELD Doing business as

Tax ID family

California State College Bakersfield2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• California State University Bakersfield Student Health Services

  • Student Health Clinic/Center
  • Bakersfield, CA
  • NPI 1912116385
  NPD tax ID

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1811016488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 STOCKDALE HWY",
            "address_2": "28HC",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111022",
            "telephone_number": "661-654-3304",
            "fax_number": "661-654-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 STOCKDALE HWY",
            "address_2": "28HC",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111022",
            "telephone_number": "661-654-3304",
            "fax_number": "661-654-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA STATE UNIVERSITY BAKERSFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "WITHERELL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "661-654-3304",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "CA",
            "license": "PHE19592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2002042",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALIFORNIA STATE COLLEGE BAKERSFIELD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• California Medical Supplies and Equipment, Inc.
• California Mentor (National Mentor Healthcare, LLC)
• California Neurosurgery and Spine
• California Physician Assistant Staffing, Inc.
• California Retina Consultants
• California State University Bakersfield Student Health Services
• California Transportation and Interpreting Services LLC
• California Vascular & Vein Center, Inc
• Megan Marie Callagy, BA
• Elizabeth Callahan

• Institutional Pharmacy in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Institutional Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.