MDM Pharmacy Services 2

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MDM PHARMACY SERVICES 2

Practice address

72724 29 Palms Hwy
Ste 104
Twentynine Palms, CA 92277

Phone

(760) 367-2000

NPI assigned

Oct 23, 2024

Organization subpart

No

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

Authorized official

Name

Maher Michail

Title

Owner

Phone

(760) 228-1600

Specialties & licenses 1

Addresses

Other names 1

• New Pharmacy 2 Doing business as

Tax ID family

MDM Pharmacy Services 22 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.

• MDM Pharmacy Services 2

  • Community/Retail Pharmacy
  • Twentynine Palms, CA
  • NPI 1033591540
  NPD tax ID

Locations

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1184445934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57725 29 PALMS HWY, STE 209",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "92284",
            "telephone_number": "760-228-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72724 29 PALMS HWY",
            "address_2": "STE 104",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "92277",
            "telephone_number": "760-367-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDM PHARMACY SERVICES 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "MICHAIL",
        "authorized_official_first_name": "MAHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-228-1600"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Pharmacy 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Marie Mays, DDS
• Katelyn McGonigle, ATC
• Ashley Brooks McIntosh
• Natalie McVey
• MDM Pharmacy Services 2
• Diana Mendoza de Saenz, PA-C
• Michael John Mero Jr., R.D.
• Corey Mitchell Miller, IDC
• Ian Gabriel Austria Mojica
• Antionette C Moore, LCSW

• Long Term Care Pharmacy in Twentynine Palms, CA
• Providers in Twentynine Palms, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.