Kidneycare Rx Inc

LBN: Kidneycare Rx Inc
Kidneycare Rx Inc is an health care organization with primary practice located at 2944 S Norfolk St , San Mateo CA 94403-2018. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Dialysis Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kidneycare Rx Inc can be contacted via phone (650) 349-1451, or through Golomb, Joshua M via phone (650) 696-8900.

Contact Information

Primary practice address
2944 S Norfolk St San Mateo CA 94403-2018
Phone: (650) 349-1451
Fax: (650) 349-2570
Website:
Map and Directions
Authorized official contact:
Name: Golomb, Joshua M
Phone: (650) 696-8900

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHY47005 California
Suppliers / Dialysis Equipment & Supplies 332BD1200X PHY47005 California
Suppliers / Pharmacy 333600000X PHY47005 California
Suppliers / Community/Retail Pharmacy 3336C0003X PHY47005 California

Profile Details

NPI number 1225292816
LBN Legal business name Kidneycare Rx Inc
DBA Doing business as
Authorized official Golomb, Joshua M
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2008
Last updated Jul 14th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225292816 NPPES
California MEDICAID PHA470050

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