1. Home
  2. Directory
  3. California
  4. Portola
  5. Pharmacy
  6. NPI Profile

PORTOLA VILLAGE PHARMACY
NPI 1679666002
Pharmacy - Community/Retail Pharmacy in Portola, CA

Active since September 30, 2006
157 COMMERCIAL ST, PORTOLA, CA 96122(530) 832-4218(530) 832-1375 Get Directions Write a Review

NPPES record last updated: June 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Portola Village Pharmacy NPPES

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

PORTOLA VILLAGE PHARMACY (NPI 1679666002) is a healthcare organization registered as a community/retail pharmacy in Portola, California and active in the NPI registry since September 2006. The organization lists Karen M Kibble, Secretary, as its authorized official.

NPPES Registry Identity

NPI1679666002
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKIBBLE ENTERPRISES, INC.
Location Address157 COMMERCIAL STPortola, CA 96122-9606
Mailing AddressPo Box 1918Portola, CA 96122-1918 · (530) 277-2107
Phone(530) 832-4218
Fax(530) 832-1375
Organization SubpartNo
Authorized OfficialKaren M KibbleSecretary · (530) 277-2107
Enumeration DateSeptember 30, 2006
Last NPPES UpdateJune 12, 2021
NPPES CertifiedJune 12, 2021
✔ NPI 1679666002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X
157 COMMERCIAL ST, Portola, CA 96122
Open in Google Maps ↗

Other Names 1

Doing Business AsPortola Village Pharmacy

Other Identifiers 2

Other0541183Ncpdp Provider Identification Number
MedicaidPHA50236CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 3

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

LINDSEY ANNE COMPTON PHARMD
Pharmacist
157 COMMERCIAL ST
PORTOLA, CA 96122
Plumas County (530) 832-4218
COMPTON & CRABTREE, INC.
Pharmacy (Community/Retail Pharmacy)
157 COMMERCIAL ST
PORTOLA, CA 96122
Plumas County (530) 832-4218
DUSTIN CRABTREE
Pharmacist
157 COMMERCIAL ST
PORTOLA, CA 96122
Plumas County (530) 832-4218

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 Kibble Enterprises, Inc.'s NPI number?

The NPI number for Kibble Enterprises, Inc. is 1679666002. It was assigned to this organization in the NPPES registry on September 30, 2006. The provider is doing business as Portola Village Pharmacy.

Where is Kibble Enterprises, Inc. located?

Kibble Enterprises, Inc. is located at 157 Commercial St, Portola, CA 96122. The listed phone number is (530) 832-4218.

What is Kibble Enterprises, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Kibble Enterprises, Inc. accept?

Health plans from Medica and Moda Health Plan, Inc. list Kibble Enterprises, Inc. 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 Kibble Enterprises, Inc. was last updated on June 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.