Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tahoe City Plaza Pharmacy

Organization Compounding Pharmacy · NPI 1134297906

Tahoe City Plaza Pharmacy is a Compounding Pharmacy in Tahoe City, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

599 N Lake Blvd
Tahoe City, CA 96145-7229
Phone: (530) 583-3888
Fax: (530) 583-1301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X · Licence PHY 43340 (CA)

Record details

NPI number1134297906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Sabistina — Pharmacist · (530) 583-3888
Other names Tahoe City Compounding Pharmacy
NPI enumeratedDecember 1, 2006
Last updated in NPPESMarch 7, 2023
Mailing addressPo Box 7229, Tahoe City, CA 96145-7229