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WATERFRONT PHARMACY LTC LLC
NPI 1114696382
Pharmacy - Long Term Care Pharmacy in Stockton, CA

Active since September 09, 2021
123 S COMMERCE ST STE A, STOCKTON, CA 95202(209) 298-1715(559) 369-2408 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2024, Sep 9, 2021 (2 updates tracked since 2021).

About Waterfront Pharmacy Ltc Llc NPPES

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

WATERFRONT PHARMACY LTC LLC (NPI 1114696382) is a healthcare organization registered as a long term care pharmacy in Stockton, California and active in the NPI registry since September 2021. The organization lists Chandra Kadiyala, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114696382
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameWATERFRONT PHARMACY LTC LLC
Location Address123 S COMMERCE ST STE AStockton, CA 95202-2837
Mailing Address123 S Commerce St Ste AStockton, CA 95202-2837 · (209) 929-1093 · Fax (209) 929-1096
Phone(209) 298-1715
Fax(559) 369-2408
Organization SubpartNo
Authorized OfficialChandra KadiyalaCeo · (509) 392-1958
Enumeration DateSeptember 9, 2021
Last NPPES UpdateApril 18, 20242 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1114696382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
123 S COMMERCE ST STE A, Stockton, CA 95202
Open in Google Maps ↗

Other Identifiers 1

OtherPHY58030CA · Pharmacy License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
36 services36 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
16 services16 patients

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.

DR. CHANDRA SEKHAR RAO KADIYALA B.PHARM, M.TECH, PHD
Pharmacist
123 S COMMERCE ST STE A
STOCKTON, CA 95202
San Joaquin County (209) 929-1093
BRUCE ENTERPRISE LLC
Pharmacy (Long Term Care Pharmacy)
123 S COMMERCE ST STE A
STOCKTON, CA 95202
San Joaquin County (209) 463-5582

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 Waterfront Pharmacy Ltc LLC's NPI number?

The NPI number for Waterfront Pharmacy Ltc LLC is 1114696382. It was assigned to this organization in the NPPES registry on September 9, 2021.

Where is Waterfront Pharmacy Ltc LLC located?

Waterfront Pharmacy Ltc LLC is located at 123 S Commerce St Ste A, Stockton, CA 95202. The listed phone number is (209) 298-1715.

What is Waterfront Pharmacy Ltc LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Waterfront Pharmacy Ltc LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 41 other insurers list Waterfront Pharmacy Ltc LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Waterfront Pharmacy Ltc LLC was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.