Healthcare Provider Details

I. General information

NPI: 1265972970
Provider Name (Legal Business Name): NATIONAL HEALTHCARE PHARMACY,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2017
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 LOMA VISTA RD
VENTURA CA
93003-3024
US

IV. Provider business mailing address

3350 LOMA VISTA RD
VENTURA CA
93003-3024
US

V. Phone/Fax

Practice location:
  • Phone: 805-765-6046
  • Fax: 805-765-6088
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY 54558
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AMANI HISHMEH
Title or Position: PRESIDENT
Credential:
Phone: 805-901-7401