Organization Active NPI

St Mary Pharmacy Inc

  • Long Term Care Pharmacy
  • Northridge, CA
National Provider Identifier
1013760891
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ST MARY PHARMACY INC
Practice address
8254 White Oak Ave Unit 4
Northridge, CA 91325-4367
Phone
(818) 975-8004
Fax
(818) 975-8094
NPI assigned
Apr 10, 2024
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Beshoy Gerges, PHARM.D.NPI 1487019469
Title
Ceo
Phone
(818) 975-8004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

8254 White Oak Ave Unit 4
Northridge, CA 91325-4367

Mailing address

8254 White Oak Ave Unit 4
Northridge, CA 91325-4367
Phone (818) 975-8004

National Provider Directory

National Provider Directory
Tax ID family
St Mary Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1013760891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8254 WHITE OAK AVE UNIT 4",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254367",
            "telephone_number": "818-975-8004",
            "fax_number": "818-975-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8254 WHITE OAK AVE UNIT 4",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254367",
            "telephone_number": "818-975-8004",
            "fax_number": "818-975-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "GERGES",
        "authorized_official_first_name": "BESHOY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-975-8004",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.