Active NPI
Pacific West Pharmacy Inc
- Long Term Care Pharmacy
- Rocklin, CA
National Provider Identifier
1902842396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PHY40592
- Legal business name
- PACIFIC WEST PHARMACY INC
- Doing business as
- PACIFIC WEST PHARMACY
- Practice address
- 4363 Pacific St
Rocklin, CA 95677-2117 - Phone
- (916) 632-7560
- Fax
- (916) 632-7571
- NPI assigned
- Jun 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arthur Whitney, RPH
- Title
- President
- Phone
- (916) 632-9311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | PHY40592 | CA | Primary |
Addresses
Primary practice location
4363 Pacific St
Rocklin, CA 95677-2117
Mailing address
4363 Pacific St
Rocklin, CA 95677-2117
Phone (916) 632-7560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA405920 | Medicaid | CA | |
| 0591924 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- PACIFIC WEST PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210510002690 | CA | Part B Supplier - Pharmacy | 2567583370 | Practice locations: Rocklin, CA |
National Provider Directory
National Provider DirectoryLocations
4363 Pacific St
Rocklin, CA 95677
Phone (916) 632-7560
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Acc Care Center | Skilled nursing facility | Adp of the SNF | Oct 25, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Sacramento, CA
- NPI 1639261795
Adp of the SNF
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Pharmacist
- Rocklin, CA
- NPI 1942356142
-
- Geriatric Pharmacist
- Rocklin, CA
- NPI 1033473962
-
- Geriatric Pharmacist
- Rocklin, CA
- NPI 1740625342
-
- Pharmacist
- Rocklin, CA
- NPI 1285276014
-
- Pharmacist
- Rocklin, CA
- NPI 1619248085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287100800000",
"number": "1902842396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4363 PACIFIC ST",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956772117",
"telephone_number": "916-632-7560",
"fax_number": "916-632-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4363 PACIFIC ST",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956772117",
"telephone_number": "916-632-7560",
"fax_number": "916-632-7571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC WEST PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-22",
"last_updated": "2010-10-15",
"status": "A",
"authorized_official_last_name": "WHITNEY",
"authorized_official_first_name": "ARTHUR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-632-9311",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "CA",
"license": "PHY40592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA405920",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "0591924",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PACIFIC WEST PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.