REDWOOD COMMUNITY PHARMACY
NPI 1144087917
Pharmacy - Long Term Care Pharmacy in Mckinleyville, CA

Active since February 28, 2024CLIA 05D2279684 · Waiver
1567 CITY CENTER RD, MCKINLEYVILLE, CA 95519(707) 633-4884(888) 810-1949 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Redwood Community Pharmacy NPPES

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

REDWOOD COMMUNITY PHARMACY (NPI 1144087917) is a healthcare organization registered as a long term care pharmacy in Mckinleyville, California and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2027 and lists Jennifer Anne Otting, Owner, as its authorized official.

NPPES Registry Identity

NPI1144087917
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameREDWOOD COMMUNITY PHARMACY
Location Address1567 CITY CENTER RDMckinleyville, CA 95519-3600
Mailing Address1567 City Center RdMckinleyville, CA 95519-3600 · (707) 633-4884
Fax(888) 810-1949
Organization SubpartNo
Authorized OfficialJennifer Anne OttingOwner · (707) 633-4884
Enumeration DateFebruary 28, 2024
Last NPPES UpdateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
NPI 1144087917 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.
1567 CITY CENTER RD, Mckinleyville, CA 95519

Accepted Insurance

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 05D2279684

Redwood Community Pharmacy · Mckinleyville, CA
Active · expires Apr 4, 2027
CLIA Number05D2279684
Laboratory TypePharmacy
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorJustin Otting
Laboratory Phone(707) 633-4884
Laboratory LocationRedwood Community Pharmacy1567 City Center Rd, Mckinleyville, CA 95519
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Pharmacist
1567 CITY CENTER RD
MCKINLEYVILLE, CA 95519
Pharmacist
1567 CITY CENTER RD
MCKINLEYVILLE, CA 95519
Internal Medicine
1567 CITY CENTER RD
MCKINLEYVILLE, CA 95519
Pharmacy (Community/Retail Pharmacy)
1567 CITY CENTER RD
MCKINLEYVILLE, CA 95519

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 Redwood Community Pharmacy's NPI number?

The NPI number for Redwood Community Pharmacy is 1144087917. It was assigned to this organization in the NPPES registry on February 28, 2024.

Where is Redwood Community Pharmacy located?

Redwood Community Pharmacy is located at 1567 City Center Rd, Mckinleyville, CA 95519. The listed phone number is (707) 633-4884.

What is Redwood Community Pharmacy's specialty?

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

Does Redwood Community Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2279684) is associated with this NPI, valid through April 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Redwood Community Pharmacy 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 44 other insurers list Redwood Community Pharmacy 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 Redwood Community Pharmacy was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.