Provider Demographics
NPI:1003034844
Name:OJAI VALLEY COM HOSPITAL PHCY
Entity Type:Organization
Organization Name:OJAI VALLEY COM HOSPITAL PHCY
Other - Org Name:OJAI VALLEY COMMUNITY HOSPITAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:LIRON
Authorized Official - Middle Name:
Authorized Official - Last Name:LEPINE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:805-640-2244
Mailing Address - Street 1:1306 MARICOPA HWY
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-3131
Mailing Address - Country:US
Mailing Address - Phone:805-640-2244
Mailing Address - Fax:805-646-2498
Practice Address - Street 1:1306 MARICOPA HWY
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-3131
Practice Address - Country:US
Practice Address - Phone:805-640-2244
Practice Address - Fax:805-646-2498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHSP472023336I0012X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1998045OtherPK
CAPHA407770Medicaid
0562694OtherNCPDP NUMBER
CAPHA407770Medicaid