Neeley Clinical Services Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NEELEY CLINICAL SERVICES INC

Practice address

347 Lakeport Blvd
Lakeport, CA 95453-5412

Phone

(707) 263-1328

Fax

(707) 263-0864

NPI assigned

May 16, 2022

Last updated

Jul 18, 2022By 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

Robert D Neeley, PHARMD

Title

Owner/Authorized Official

Phone

(707) 263-1328

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1952048514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 LAKEPORT BLVD",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535412",
            "telephone_number": "707-263-1328",
            "fax_number": "707-263-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 LAKEPORT BLVD",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535412",
            "telephone_number": "707-263-1328",
            "fax_number": "707-263-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEELEY CLINICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "NEELEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "707-263-1328",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moutaz Almawaldi MD PC
• Annette Joyce Moynier
• Darcene Melaac Munir, M.D.
• Heather Murray, RN, IBCLC
• Michael Lee Murrray, R.PH
• Neeley Family, Inc (North Lake Medical Pharmacy #2)
• Neeley, Inc (North Lake Medical Pharmacy)
• Neeley, Inc (North Lake Medical Pharmacy LTC)
• Kyla Neeley, PHARMD
• James F Neighbors, RPH

• Clinic/Center in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.