Healthcare Provider Details

I. General information

NPI: 1366649857
Provider Name (Legal Business Name): SIMI VALLEY HOSPITAL PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2975 SYCAMORE DR
SIMI VALLEY CA
93065-1201
US

IV. Provider business mailing address

2975 SYCAMORE DR
SIMI VALLEY CA
93065-1201
US

V. Phone/Fax

Practice location:
  • Phone: 805-955-6340
  • Fax: 805-955-6344
Mailing address:
  • Phone: 805-955-6340
  • Fax: 805-955-6344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License NumberHSP32771
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberHSP32771
License Number StateCA

VIII. Authorized Official

Name: DR. CAROL B. DEAMER
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARM. D
Phone: 805-955-6342