Palco Pharmacy a Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY43140 Issued in CA

Legal business name

PALCO PHARMACY A CORP

Practice address

113 Main St
Suite D
Scotia, CA 95565

Phone

(707) 764-3591

Fax

(707) 764-3797

NPI assigned

Nov 2, 2005

Last updated

May 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Merilyn D Ross, RPHNPI 1881884377

Title

President

Phone

(707) 764-3591

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Merilyn Dunn Ross, RPH

  • Pharmacist
  • Scotia, CA
  • NPI 1881884377
  NPD (past) Authorized official
• Daniel Bywater, CPHT

  • Pharmacy Technician
  • Scotia, CA
  • NPI 1972869535
  NPD
• George Dennis Peck, RPH

  • Pharmacist
  • Scotia, CA
  • NPI 1073713210
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1255322863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "SCOTIA",
            "state": "CA",
            "postal_code": "955650157",
            "telephone_number": "707-764-3591",
            "fax_number": "707-764-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MAIN ST",
            "address_2": "SUITE D",
            "city": "SCOTIA",
            "state": "CA",
            "postal_code": "95565",
            "telephone_number": "707-764-3591",
            "fax_number": "707-764-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALCO PHARMACY A CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "MERILYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-764-3591",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY43140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA348600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Bywater, CPHT
• Ashley Christina
• Peter Heck, LCSW
• Breanna J Hendershot
• Mark Allen Hise, D.D.S.
• George Dennis Peck, RPH
• Merilyn Dunn Ross, RPH
• Regina Renee Schuetzle, RN
• Scotia Union Elementary School District
• Southern Trinity Health Inc (We Care - Scotia Bluffs)

• Pharmacy in Scotia, CA
• Providers in Scotia, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.