Portola Village Pharmacy is an authorized DME supplier for medicare equipments and products.
Portola Village Pharmacy is a Community/Retail Pharmacy in Portola, California. This pharmacy is owned and operated by Kibble Enterprises, Inc.. It is located at 157 Commercial St, Portola and it's customer support contact number is 530-832-4218. The authorized person of Portola Village Pharmacy is Karen M Kibble who is Secretary of the pharmacy and his contact number is 530-277-2107.Portola Village Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Portola Village Pharmacy 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:
Portola Village Pharmacy 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.
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:
Karen M Kibble
Position:
Secretary
Contact Number:
530-277-2107
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:
1679666002
NPI Enumeration Date:
30 Sep, 2006
NPI Last Update On:
12 Jun, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Portola Village Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
California
Primary
Pharmacy
Secondary
Mail Order Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0541183
Other
Ncpdp Provider Identification Number
PHA50236
Medicaid
California
Medicare Enrollment:
Portola Village Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
6608084314
O20130722000186
Kibble Enterprises Inc
DME SUPPLIER - PHARMACY
Products Available:
Portola Village Pharmacy has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Nebulizer Equipment & Supplies
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1918, Portola, California
Zip:
96122-1918
Phone Number:
530-277-2107
Fax Number:
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Patients can reach Portola Village Pharmacy at 157 Commercial St, Portola, California or can call on customer care at 530-832-4218.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.