Dmmjr Inc
Organization Active NPI Long Term Care Pharmacy · Alpine, CA
NPI 1124560941 · NPPES record last updated Mar 21, 2022
Key facts
- NPI
- 1124560941
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- License
- PHY51950 (CA)
- Legal business name
- DMMJR INC
- Practice address
- 1730 Alpine Blvd Ste 109
Alpine, CA 91901-3877 - Phone
- (619) 722-6442
- Fax
- (619) 722-6443
- NPI assigned
- Nov 10, 2016
- Organization subpart
- No
Authorized official
- Name
- Kristina R Johnson
- Title
- President
- Phone
- (619) 722-6442
Corporate family (same tax ID) 1
Practitioners 1
National Provider Directory
- Tax ID family
- DMK Pharmacy
Locations
1730 Alpine Blvd
Ste 109
Alpine, CA 91901
Phone (619) 722-6442
8575 Los Coches Rd
Ste 5
El Cajon, CA 92021
Phone (619) 561-5602
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | PHY51950 | CA | Yes |
Addresses
Primary practice location
1730 Alpine Blvd Ste 109
Alpine, CA 91901-3877
Mailing address
1730 Alpine Blvd Ste 109
Alpine, CA 91901-3877
Phone (619) 722-6442
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2166108 | Other | PK | |
| 1124560941 | Medicaid | CA |
Other names
- DMK Pharmacy
Other providers in Alpine, CA
- Linda Krell Dean
- Shelly Delgado Aledo
- Erin Dempsey
- Brian Diep
- Michelle Ann Ditomaso
- Dmmjr Inc
- Jane Paula Donado
- Sarah Jane Donahue
- Samuel David Dove
- Molly Downs-Stoller
All providers in Alpine, CA · Long Term Care 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 Mar 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.