NPIMap

Organization Active NPI

Mel Pharm Inc.

  • Community/Retail Pharmacy
  • Madera, CA
National Provider Identifier
1104821776
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEL PHARM INC.
Practice address
402 S. Madera Ave Ste a
Madera, CA 93637-3203
Phone
(559) 674-8553
Fax
(559) 674-0947
NPI assigned
Jun 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Mr. Sirtaj Singh, PHARMDNPI 1831790260
Title
Owner/President
Phone
(559) 674-8553

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY53630 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

402 S. Madera Ave Ste a
Madera, CA 93637-3203

Mailing address

402 S. Madera Ave Ste a
Madera, CA 93637-3203
Phone (559) 674-8553

Other identifiers 3

IdentifierTypeStateIssuer
PHY75698OtherCAPHARMACY LICENSE
1999775OtherPK
PHA393920MedicaidCA

Other names 1

  • Madera Medical Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

402 S Madera Ave
Ste A
Madera, CA 93637
Phone (559) 674-8553

402 S Madera Ave
Madera, CA 93637

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1104821776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S. MADERA AVE STE A",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373203",
            "telephone_number": "559-674-8553",
            "fax_number": "559-674-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S. MADERA AVE STE A",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373203",
            "telephone_number": "559-674-8553",
            "fax_number": "559-674-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEL PHARM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "SIRTAJ",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "559-674-8553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53630",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PHY75698",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1999775",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA393920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madera Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.