Dewitts Drug Store L P

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY40751 Issued in CA

Legal business name

DEWITTS DRUG STORE L P

Doing business as

Dewitts Drug Store

Practice address

407 Robertson Blvd
Chowchilla, CA 93610-2846

Phone

(559) 665-4494

Fax

(559) 665-3632

NPI assigned

Mar 20, 2007

Last updated

Jan 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carrie Davis

Title

Partner/Accounting

Phone

(559) 665-4494

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DEWITTS DRUG STORE Doing business as

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1932224904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12605 APPALOOSA RD",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368354",
            "telephone_number": "559-645-6275",
            "fax_number": "559-645-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 ROBERTSON BLVD",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936102846",
            "telephone_number": "559-665-4494",
            "fax_number": "559-665-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWITTS DRUG STORE L P",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PARTNER/ACCOUNTING",
        "authorized_official_telephone_number": "559-665-4494"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY40751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0530407",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA407510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEWITTS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County of Madera (Chowchilla Recovery Center MH)
• Kathrine Crenshaw
• Brooke Lynette Criswell, LCSW
• Jennifer David
• Development Specialty Projects, Inc. (Health Care Dual Diagnosis Clinics II)
• Mehtab Singh Dhaliwal
• Navjot Kaur Dhaliwal
• Julio Cesar Diaz, LCSW
• Shereen Dimes
• Vicki Le DO-Wong, LCSW

• Community/Retail Pharmacy in Chowchilla, CA
• Providers in Chowchilla, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.