Misinko Inc
Organization Active NPI Community/Retail Pharmacy · Cudahy, CA
NPI 1114917358 · NPPES record last updated Feb 18, 2016
Key facts
- NPI
- 1114917358
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHY43282 (CA)
- Legal business name
- MISINKO INC
- Practice address
- 7611 Atlantic Ave
Cudahy, CA 90201-5019 - Phone
- (323) 773-1700
- Fax
- (323) 773-5959
- NPI assigned
- Oct 27, 2005
- Organization subpart
- No
Authorized official
- Name
- Pratish Mistry, RPH
- Title
- Treasurer
- Phone
- (323) 773-1700
Practitioners 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| St James Pharmacy |
Blood Glucose Monitors/Supplies (Non-Mail Order) | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930095975 | CA | DME Supplier - Pharmacy | 9931300019 | Practice locations: Cudahy, CA |
National Provider Directory
Locations
7611 Atlantic Ave
Cudahy, CA 90201
Phone (323) 773-1700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY43282 | CA | Yes |
Addresses
Primary practice location
7611 Atlantic Ave
Cudahy, CA 90201-5019
Mailing address
7611 Atlantic Ave
Cudahy, CA 90201-5019
Phone (323) 773-1700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2075229 | Other | PK | |
| PHA432820 | Medicaid | CA |
Other names
- ST JAMES PHARMACY
Other providers in Cudahy, CA
- Jazmin Luna
- Marco a. Martinez, M.D. Inc
- Marco A Martinez
- Paula Celeste McAlpin
- Tiffany Merrill
- Pratish Mistry
- Rebecca Myung
- Lydia Cavales Oftadeh
- Akash Pramod Patel
- Chintan Patel
All providers in Cudahy, CA · Community/Retail Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.