Pavilions Pharmacy #4563

Community/Retail Pharmacy Accepts Medicare


  
  989 Avenida Pico, San Clemente
California, 92673-3908

 949-369-5596    949-369-5691
Pavilions Pharmacy #4563 is a Community/Retail Pharmacy in San Clemente, California. This pharmacy is owned and operated by Albertsons Llc. It is located at 989 Avenida Pico, San Clemente and it's customer support contact number is 949-369-5596. The authorized person of Pavilions Pharmacy #4563 is Kathy Giannakopoulos who is Enrollment Manager of the pharmacy and his contact number is 208-395-3954. Active license number of Pavilions Pharmacy #4563 is PHY51354 for Community/Retail Pharmacy in California. Pavilions Pharmacy #4563 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Pavilions Pharmacy #4563 is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Pharmacy Details:
Pavilions Pharmacy #4563 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Pavilions Pharmacy #4563
Type: Community/Retail Pharmacy
Location:989 Avenida Pico, San Clemente,
California, 92673-3908
Phone:949-369-5596
Fax:949-369-5691
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Kathy Giannakopoulos
Position: Enrollment Manager
Contact Number: 208-395-3954
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1154377521
NPI Enumeration Date: 26 May, 2006
NPI Last Update On: 01 Aug, 2023

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pavilions Pharmacy #4563 are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy PHY51354CaliforniaPrimary
Durable Medical Equipment & Medical Supplies Secondary
Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
071PHA477040MedicaidCalifornia
071PHA457770MedicaidCalifornia
2000502OtherPk
Medicare Enrollment:
Pavilions Pharmacy #4563 is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
8729983515O20130716000172Albertsons LlcDME SUPPLIER - PHARMACY
Products Available:
Pavilions Pharmacy #4563 has following products available for sale under medicare.
    Products
  • Blood Glucose Monitors & Supplies: Non-mail Order
  • Canes & Crutches
  • Commodes, Urinals, & Bedpans
  • Diabetic Shoes & Inserts: Prefabricated
  • Enteral Equipment And/or Supplies
  • Enteral Nutrients
  • Heat & Cold Applications
  • Nebulizer Equipment & Supplies
  • Orthoses: Off-the-shelf
  • Ostomy Supplies
  • Parenteral Equipment And/or Supplies
  • Parenteral Nutrients
  • Surgical Dressings
  • Urological Supplies
  • Walkers
  • Business Mailing Address:
    Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
    Address: 250 E Parkcenter Blvd,
    Boise, Idaho
    Zip: 83706-3940
    Phone Number: --
    Fax Number: --
    Patients can reach Pavilions Pharmacy #4563 at 989 Avenida Pico, San Clemente, California or can call on customer care at 949-369-5596.

    Comments/ Reviews:


    *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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