MEMORIAL MEDICAL CENTER OUTPATIENT PHARM
NPI 1043246747
Pharmacy - Institutional Pharmacy in Modesto, CA

Active since June 24, 2006CLIA 05D2294366 · Waiver
1800 COFFEE RD, SUITE 110, MODESTO, CA 95355(209) 572-7132(209) 572-7077 Get Directions Write a Review

NPPES record last updated: October 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Memorial Medical Center Outpatient Pharm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL MEDICAL CENTER OUTPATIENT PHARM (NPI 1043246747) is a healthcare organization registered as an institutional pharmacy in Modesto, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 21, 2027 and lists James Breshears, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1043246747
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NameSUTTER CENTRAL VALLEY HOSPITALS
Location Address1800 COFFEE RD, SUITE 110Modesto, CA 95355-2705
Mailing Address1800 Coffee Rd, Suite 110Modesto, CA 95355-2705 · (209) 572-7132 · Fax (209) 572-7077
Fax(209) 572-7077
Organization SubpartNo
Authorized OfficialJames BreshearsDirector Of Pharmacy · (209) 569-7352
Enumeration DateJune 24, 2006
Last NPPES UpdateOctober 6, 2010
NPI 1043246747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
License Licensed in CA · HSP37596
Definition

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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.

1800 COFFEE RD, Modesto, CA 95355

Other Names 1

Doing Business AsMemorial Medical Center Outpatient Pharm

Other Identifiers 2

MedicaidPHB375960CA
Other0538009Ncpdp Provider Identification Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2294366

Memorial Medical Center - Infusion Center · Modesto, CA
Active · expires Nov 21, 2027
CLIA Number05D2294366
Laboratory TypeInfusion Center
Certificate Effective DateNovember 22, 2025
Certificate Expiration DateNovember 21, 2027
Laboratory DirectorHarvey Chang
Laboratory Phone(209) 530-3753
Laboratory LocationMemorial Medical Center - Infusion Center1800 Coffee Road Suite 52, Modesto, CA 95355
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1800 COFFEE RD
MODESTO, CA 95355
Dietitian, Registered
1800 COFFEE RD, SUITE 30
MODESTO, CA 95355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sutter Central Valley Hospitals's NPI number?

The NPI number for Sutter Central Valley Hospitals is 1043246747. It was assigned to this organization in the NPPES registry on June 24, 2006. The provider is doing business as Memorial Medical Center Outpatient Pharm.

Where is Sutter Central Valley Hospitals located?

Sutter Central Valley Hospitals is located at 1800 Coffee Rd Suite 110, Modesto, CA 95355. The listed phone number is (209) 572-7132.

What is Sutter Central Valley Hospitals's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

Does Sutter Central Valley Hospitals hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2294366) is associated with this NPI, valid through November 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sutter Central Valley Hospitals was last updated on October 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.