Active NPI
Mike Najah Katy
- Pharmacist
- San Ysidro, CA
National Provider Identifier
1144639303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80794
- Practice address
- 4184 Beyer Blvd Ste 101
San Ysidro, CA 92173-2183 - Phone
- (619) 207-0406
- NPI assigned
- Aug 12, 2014
- Last updated
- Jul 5, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302040401 | MI | |
| Pharmacist | 183500000X | 80794 | CA | Primary |
Addresses
Primary practice location
4184 Beyer Blvd Ste 101
San Ysidro, CA 92173-2183
Mailing address
4184 Beyer Blvd Ste 101
San Ysidro, CA 92173-2183
Phone (619) 207-0406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302040401 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNK Pharmacy LLC | Current | Accepting new patients |
Locations
4184 Beyer Blvd
Ste 101
San Ysidro, CA 92173
Phone (619) 207-0406
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1144639303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4184 BEYER BLVD STE 101",
"city": "SAN YSIDRO",
"state": "CA",
"postal_code": "921732183",
"telephone_number": "619-207-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4184 BEYER BLVD STE 101",
"city": "SAN YSIDRO",
"state": "CA",
"postal_code": "921732183",
"telephone_number": "619-207-0406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATY",
"first_name": "MIKE",
"middle_name": "NAJAH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-12",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302040401",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ysidro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.