Healthcare Provider Details

I. General information

NPI: 1902931793
Provider Name (Legal Business Name): DIGNITY COMMUNITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 01/28/2020
Certification Date: 01/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 HOSPITAL DR
SACRAMENTO CA
95823
US

IV. Provider business mailing address

7500 HOSPITAL DR
SACRAMENTO CA
95823-5403
US

V. Phone/Fax

Practice location:
  • Phone: 916-423-6052
  • Fax: 916-423-5926
Mailing address:
  • Phone: 916-423-6052
  • Fax: 916-423-5926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberHSP45511
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOSEPH NOCIE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 916-423-6100