CENTURYWOOD MEDICAL PHARMACY – NPI #1295818342
Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CENTURYWOOD MEDICAL PHARMACY is a pharmacy located in LYNWOOD, CA. NPPES has assigned the NPI number 1295818342 to CENTURYWOOD MEDICAL PHARMACY on October 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTURYWOOD MEDICAL PHARMACY” is a dba name, the actual legal business name for this organization is QUALI-CARE HEALTH CORPORATION. The primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 16 years ago on Nov 04, 2010. 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 CENTURYWOOD MEDICAL PHARMACY below.

NPI Profile for
QUALI-CARE HEALTH CORPORATION

NPI Number
1295818342
Enumeration Date

(more than 19 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
QUALI-CARE HEALTH CORPORATION
Doing Business As (dba): CENTURYWOOD MEDICAL PHARMACY
Primary location
3737 MARTIN LUTHER KING JR BLVD
SUITE 101
LYNWOOD, CA 90262-3513
Phone: (310) 537-1440 Fax:
Mailing address
PO BOX 368
MONTROSE, CA 91021-0368
Phone: Fax:
Organization Subpart
No
Authorized Official
KHANH HORNE
PRESIDENT
Phone: (310) 537-1440
Updated
Identifiers

Identifiers for CENTURYWOOD MEDICAL 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
OTHERNCPDP PROVIDER IDENTIFICATION NUMBER0572342
MEDICAIDCA1295818342
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
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
CA PHY49113

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.