National Provider Identifier Database

PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA
Institutional Pharmacy

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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.


Contact Information

PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA
1300 W 7TH ST
SAN PEDRO, CA90732-3505
Phone: 310-832-3311
Fax: 310-514-5462
Website:
Specialty Taxonomy Code
* Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA

NPI Number 1508972456
Legal business name
LBN
PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA
Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY ENROLLMENTS)
Entity Organization
Organization subpart No
Enumeration date 08/22/2006
Last updated 05/09/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: HSP47226
  • CA Medicaid: PHB472260
  • Other: 0544519 NCPDP PROVIDER IDENTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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