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Waterfront Pharmacy Ltc LLC

Long Term Care Pharmacy in Stockton, CA · enumerated 2021 · authorized official Chandra Kadiyala, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114696382

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Registry record

Entity type Organization (Type 2)
Legal business name Waterfront Pharmacy Ltc LLC
Practice address 123 S Commerce St Ste A, Stockton, CA, 95202
Phone (209) 298-1715
Fax (559) 369-2408
Enumeration date Sep 9, 2021
Last updated in NPPES Apr 18, 2024

Taxonomy & classification

3336L0003X Long Term Care Pharmacy Suppliers Primary

Authorized official

Name Chandra Kadiyala
Title Ceo
Phone (509) 392-1958

Other identifiers

Identifier Type State Issuer
PHY58030 Other CA PHARMACY LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Waterfront Pharmacy Ltc LLC?
Waterfront Pharmacy Ltc LLC is registered in NPPES as a Long Term Care Pharmacy (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-18.