OrganizationActive
Chccc Community Health Center Pharmacy of the Central Coast
NPI 1114382132 · Clinic Pharmacy · Nipomo, CA
Provider details
- NPI number
- 1114382132
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Parent organization
- Chccc Community Health Centers of the Central Coast
- Organization subpart
- Yes
- Authorized official
- Calvin Nishinaka, Pharmacist-In-Charge(805) 269-1325
- License
- PHY52591 (CA)
Specialties & taxonomies
Suppliers
Practice location
150 Tejas Pl
Nipomo, CA 93444-9123
Phone: (805) 270-1800
Fax: (805) 270-1820
Approximate (ZIP-level) locationGet directions
Mailing address
150 Tejas Pl
Nipomo, CA 93444-9123
Registry dates
- Enumerated
- 2015-12-17
- Last updated
- 2016-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.