Active NPI
Medicross Pharmaceutical SVCS Inc
Doing business as Mills Square Pharmacy
- Long Term Care Pharmacy
- San Mateo, CA
National Provider Identifier
1174637144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MEDICROSS PHARMACEUTICAL SVCS INC
- Doing business as
- Mills Square Pharmacy
- Practice address
- 11 S San Mateo Dr
San Mateo, CA 94401-3803 - Phone
- (650) 347-5251
- Fax
- (650) 348-0509
- NPI assigned
- Aug 18, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank Tsolakis, PHARMD
- Title
- Owner and Pharmacist in Charge
- Phone
- (650) 347-5251
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY46847 | CA | |
| Long Term Care Pharmacy | 3336L0003X | NU | Primary | |
| Mail Order Pharmacy | 3336M0002X | NU |
Addresses
Primary practice location
11 S San Mateo Dr
San Mateo, CA 94401-3803
Mailing address
11 S San Mateo Dr
San Mateo, CA 94401-3803
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0524339 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| PHA468470 | Medicaid | CA |
Other names 1
- MILLS SQUARE PHARMACY
National Provider Directory
National Provider DirectoryLocations
11 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 344-7546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1174637144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 S SAN MATEO DR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 S SAN MATEO DR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013803",
"telephone_number": "650-347-5251",
"fax_number": "650-348-0509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICROSS PHARMACEUTICAL SVCS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "TSOLAKIS",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "OWNER AND PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "650-347-5251",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY46847",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0524339",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA468470",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MILLS SQUARE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.