TIMOTHY J. ROTH, DO
NPI 1275675480
Non-Pharmacy Dispensing Site in Clovis, CA
- Organization
- Non-Pharmacy Dispensing Site
About TIMOTHY J. ROTH, DO
This page provides the complete NPI Profile along with additional information for Timothy J. Roth, Do, a provider established in Clovis, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1275675480 assigned on February 2007. The practitioner's primary taxonomy code is 332900000X with license number 20A5200 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Timothy J. Roth, Do. The authorized official of this NPI record is Kenny Heine (Director Of Operations)
- NPI
- 1275675480 Verify this NPI
- Provider Legal Name
- G & J ROTH PROFESSIONAL CORP
- Other Organization Name
- TIMOTHY J. ROTH, DO
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 255 W BULLARD AVE 102 CLOVIS, CA 93612
- Location Phone
- (559) 299-2128
- Mailing Address
- 5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-13-2007
- Last Update Date
- 10-17-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- 20A5200
- License State
- CA
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CLOVIS, CA 93612
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275675480, enumerated as an "organization" on February 13, 2007.
The provider is located at 255 W BULLARD AVE 102 CLOVIS, CA 93612 and the phone number is (559) 299-2128.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
