NPIMap

Organization Active NPI

Pharmatox, Inc.

  • Community/Behavioral Health Agency
  • Fairfield, CA
National Provider Identifier
1174695241
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
480016AP Issued in CA
Legal business name
PHARMATOX, INC.
Practice address
1143 Missouri St
Fairfield, CA 94533-6007
Phone
(707) 435-8042
Fax
(707) 435-1527
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Clifton Meredith, PHD
Title
Director of Clinical Services
Phone
(707) 435-8042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 480016AP CA Primary

Addresses

Primary practice location

1143 Missouri St
Fairfield, CA 94533-6007

Mailing address

1143 Missouri St
Fairfield, CA 94533-6007
Phone (707) 435-8042

National Provider Directory

National Provider Directory
Tax ID family
Pharmatox Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174695241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 MISSOURI ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336007",
            "telephone_number": "707-435-8042",
            "fax_number": "707-435-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 MISSOURI ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336007",
            "telephone_number": "707-435-8042",
            "fax_number": "707-435-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMATOX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CLIFTON",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "707-435-8042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "480016AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.