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

Waterfront Pharmacy Ltc LLC

Organization Long Term Care Pharmacy · NPI 1114696382

Waterfront Pharmacy Ltc LLC is a Long Term Care Pharmacy in Stockton, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

123 S Commerce St Ste A
Stockton, CA 95202-2837
Phone: (209) 298-1715
Fax: (559) 369-2408
Show map & directions

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

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1114696382
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chandra Kadiyala — Ceo · (509) 392-1958
NPI enumeratedSeptember 9, 2021
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024
Mailing address123 S Commerce St Ste A, Stockton, CA 95202-2837

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