Organization · Type 2 NPI

St. Joseph Health Northern California, LLC

Home Infusion Therapy Pharmacy · Eureka, CA

NPI number 1568422319 Active

Practice location

2612 Harrison Ave
Eureka, CA 95501

Call (707) 269-4258 Map

Fax (707) 269-3755

Mailing address

PO Box 31001-3059
Pasadena, CA 91110-3059

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Home Infusion Therapy Pharmacy Primary	3336H0001X	PHY45619 (CA)

Home Infusion Therapy Pharmacy: Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusio…

NPI record

NPI: 1568422319
Entity type: Organization (Type 2)
Issued: Mar 24, 2006
Last updated: May 8, 2025
Status: Active
Subpart: Yes of St. Joseph Health System

Other names

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Providence Humboldt Home Infusion · doing business as

Authorized official

Donald Wayne Anderson
Assistant Secretary of Enrollments
(425) 358-9786

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1568422319

St. Joseph Health Northern California, LLC's National Provider Identifier is 1568422319, issued on Mar 24, 2006. The primary taxonomy on file is Home Infusion Therapy Pharmacy (3336H0001X), and the practice location is in Eureka, CA. The record was last updated on May 8, 2025.