Healthcare Provider Details

I. General information

NPI: 1912734278
Provider Name (Legal Business Name): PACIFIC PHARMACY PRACTICE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2024
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5060 CALIFORNIA AVE STE 1090A
BAKERSFIELD CA
93309-0728
US

IV. Provider business mailing address

5060 CALIFORNIA AVE STE 1090A
BAKERSFIELD CA
93309-0728
US

V. Phone/Fax

Practice location:
  • Phone: 661-888-8585
  • Fax: 661-535-2766
Mailing address:
  • Phone: 661-888-8585
  • Fax: 661-535-2766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. KIMBERLY ANN HOFFMANN
Title or Position: ADV. PRACTICE PHARMACIST PRACTIONER
Credential: PHARMDAPH,BCPP,BCGP
Phone: 661-203-4516