NPIMap

Organization Active NPI

Marin Apothecaries

  • Community/Retail Pharmacy
  • Santa Rosa, CA
National Provider Identifier
1245873124
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MARIN APOTHECARIES
Practice address
3569A Round Barn Cir
Santa Rosa, CA 95403-1757
Phone
(707) 236-6880
Fax
(707) 528-3263
NPI assigned
Oct 23, 2019
Organization subpart
Yes
Parent organization
MARIN APOTHECARIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Naveen Mansukhani
Title
Vice President, Managed Services
Phone
(281) 749-2547

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3569A Round Barn Cir
Santa Rosa, CA 95403-1757

Mailing address

13651 Dublin CT
Stafford, TX 77477-4317
Phone (281) 749-4000

Other names 1

  • Vista Clinic Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marin Apothecaries Inc4 organizations share this tax ID, including this one
Part of
Marin Apothecaries Inc

Other organizations with this tax ID 3

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

Locations

3569 Round Barn Cir
#A
Santa Rosa, CA 95403
Phone (707) 236-6880

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1245873124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13651 DUBLIN CT",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774317",
            "telephone_number": "281-749-4000",
            "fax_number": "614-652-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569A ROUND BARN CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031757",
            "telephone_number": "707-236-6880",
            "fax_number": "707-528-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN APOTHECARIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARIN APOTHECARIES",
        "enumeration_date": "2019-10-23",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "MANSUKHANI",
        "authorized_official_first_name": "NAVEEN",
        "authorized_official_title_or_position": "VICE PRESIDENT, MANAGED SERVICES",
        "authorized_official_telephone_number": "281-749-2547"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vista Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.