Main Fork Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MAIN FORK PHARMACY

Practice address

41841 Sierra Dr
Three Rivers, CA 93271-9795

Phone

(559) 566-6801

NPI assigned

May 6, 2025

Organization subpart

No

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

Authorized official

Name

Martin Burnham

Title

Ceo

Phone

(559) 566-6801

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Harold Eugene Gillung, RPH

  • Pharmacist
  • Three Rivers, CA
  • NPI 1952176489
  NPD

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1134919988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41841 SIERRA DR",
            "city": "THREE RIVERS",
            "state": "CA",
            "postal_code": "932719795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41841 SIERRA DR",
            "city": "THREE RIVERS",
            "state": "CA",
            "postal_code": "932719795",
            "telephone_number": "559-566-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN FORK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "BURNHAM",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-566-6801"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Eugene Gillung, RPH
• Lee Arthur Goldstein, O.D.
• Lauren E Hernandez, PA-C
• Mikella Koch, APRN
• Christina L Loria, ASW139934
• Melissa Anne Mertz, FNP-C
• Donald Wayne Mosley, DDS
• Saiba Hospitalist Associates (Home Based Medical Care)
• Sierra Family Practice Partners PC (Sierra Family Practice)
• David Stanley

• Pharmacy in Three Rivers, CA
• Providers in Three Rivers, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.