NPIMap

Organization Active NPI

Southern Humboldt Community Healthcare District

Doing business as Garberville Pharmacy

  • Community/Retail Pharmacy
  • Garberville, CA
National Provider Identifier
1811581572
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT
Doing business as
Garberville Pharmacy
Practice address
286 Sprowel Creek Rd
Garberville, CA 95542-3306
Phone
(707) 921-7078
Fax
(707) 921-7069
NPI assigned
Feb 23, 2021
Organization subpart
Yes
Parent organization
SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Daniel Bywater
Title
Pharmacy Manager
Phone
(707) 921-7078

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

286 Sprowel Creek Rd
Garberville, CA 95542-3306

Mailing address

733 Cedar St
Garberville, CA 95542-3201
Phone (707) 923-3921

Other identifiers 1

IdentifierTypeStateIssuer
1811581572MedicaidCA

Other names 1

  • Garberville Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southern Humboldt Community4 organizations share this tax ID, including this one
Part of
Southern Humboldt Community

Other organizations with this tax ID 3

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

Locations

286 Sprowel Creek Rd
Garberville, CA 95542
Phone (707) 921-7078

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1811581572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 CEDAR ST",
            "city": "GARBERVILLE",
            "state": "CA",
            "postal_code": "955423201",
            "telephone_number": "707-923-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 SPROWEL CREEK RD",
            "city": "GARBERVILLE",
            "state": "CA",
            "postal_code": "955423306",
            "telephone_number": "707-921-7078",
            "fax_number": "707-921-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT",
        "enumeration_date": "2021-02-23",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "BYWATER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "707-921-7078"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811581572",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garberville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Garberville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garberville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.