BOULDER CREEK PHARMACY – NPI #1538648894
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Health Care Provider Taxonomy Code for Pharmacy

BOULDER CREEK PHARMACY is a pharmacy located in BOULDER CREEK, CA. NPPES has assigned the NPI number 1538648894 to BOULDER CREEK PHARMACY on August 08, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BOULDER CREEK PHARMACY” is a dba name, the actual legal business name for this organization is BCRX INC. The primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOULDER CREEK PHARMACY below.

NPI Profile for
BCRX INC

NPI Number
1538648894
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BCRX INC
Doing Business As (dba): BOULDER CREEK PHARMACY
Primary location
13081 CENTRAL AVE
BOULDER CREEK, CA 95006-9119
Phone: (831) 338-2144 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN LINDBERG
PRESIDENT
Phone: (831) 338-2144
Updated
Identifiers

Identifiers for BOULDER CREEK PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherCA BOARD OF PHARMACY LICENSECAPHY56168
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)		 CA PHY56168

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.