Organization Active NPI

Medicross Pharmaceutical SVCS Inc

Doing business as Mills Square Pharmacy

  • Long Term Care Pharmacy
  • San Mateo, CA
National Provider Identifier
1174637144
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0524339OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PHA468470MedicaidCA

Other names 1

  • MILLS SQUARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.