SENIOR CARE PHARMACY SERVICES
NPI 1154617215
Pharmacy - Long Term Care Pharmacy in Fairfield, CA

NPI Status: Active since June 27, 2011

Contact Information

4950 FULTON DR
SUITE A AND B
FAIRFIELD, CA
ZIP 94534
Phone: (707) 673-9800
Fax: (707) 673-9900

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy
  • Accepts Insurance

About SENIOR CARE PHARMACY SERVICES

This page provides the complete NPI Profile along with additional information for Senior Care Pharmacy Services, a provider established in Fairfield, California operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1154617215 assigned on June 2011. The practitioner's primary taxonomy code is 3336L0003X with license number PHY50619 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Senior Care Pharmacy Services. The authorized official of this NPI record is Samit Banerjee (Ceo)

NPI
1154617215
Provider Legal Name
SENIOR CARE PHARMACY SERVICES FAIRFIELD INC
Other Organization Name
SENIOR CARE PHARMACY SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4950 FULTON DR SUITE A AND B FAIRFIELD, CA 94534
Location Phone
(707) 673-9800
Location Fax
(707) 673-9900
Mailing Address
PO BOX 27458 ANAHEIM, CA 92809
Mailing Phone
(714) 891-1800
Mailing Fax
(707) 673-9900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2011
Last Update Date
02-20-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Long Term Care Pharmacy

Taxonomy Code
3336L0003X
Type
Suppliers
License No.
PHY50619
License State
CA
Taxonomy Description
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
2333600000XSuppliers

Pharmacy

 
33336C0004XSuppliers

Pharmacy
Compounding Pharmacy

 
43336I0012XSuppliers

Pharmacy
Institutional Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Balance by Medica Bronze $0 Copay PCP Visits - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - PPO
  • Balance by Medica Bronze Premier - EPO
  • Balance by Medica Bronze Premier - PPO
  • Balance by Medica Catastrophic - EPO
  • Balance by Medica Catastrophic - PPO
  • Balance by Medica Expanded Bronze Standard - EPO
  • Balance by Medica Expanded Bronze Standard - PPO
  • Balance by Medica Gold $0 Copay PCP Visits - EPO
  • Balance by Medica Gold $0 Copay PCP Visits - PPO
  • Balance by Medica Gold Share - EPO
  • Balance by Medica Gold Share - PPO
  • Balance by Medica Gold Standard - EPO
  • Balance by Medica Gold Standard - PPO
  • Balance by Medica Silver $0 Copay PCP Visits - EPO
  • Balance by Medica Silver $0 Copay PCP Visits - PPO
  • Balance by Medica Silver Share - EPO
  • Balance by Medica Silver Share - PPO
  • Balance by Medica Silver Standard - EPO
  • Balance by Medica Silver Standard - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAMIT BANERJEE

Authorized Official Title
CEO
Authorized Official Phone
(714) 891-1800

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5641332OTHER (01)NCPDP PROVIDER IDENTIFICATION NUMBER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154617215
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041211422
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 2 + 1 + 1 + 4 + 2 + 2 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1154617215 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154617215, enumerated in the NPI registry as an "organization" on June 27, 2011

The provider is located at 4950 Fulton Dr Suite A And B Fairfield, Ca 94534 and the phone number is (707) 673-9800

This medical organization specializes in Pharmacy with taxonomy code 3336L0003X with a focus in Long Term Care Pharmacy

The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 27, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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