M E C Pharmacy Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY53469 Issued in CA

Legal business name

M E C PHARMACY SERVICES INC

Doing business as

American Surgical Pharmacy

Practice address

103 E Highland Ave
San Bernardino, CA 92404-3603

Phone

(909) 882-3353

Fax

(909) 882-7849

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Eric Clark

Title

Ceo

Phone

(909) 882-3353

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• American Surgical Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

American Surgical Pharmacy2 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.

• M E C Pharmacy Services Inc

  dba American Surgical Pharmacy

  • Long Term Care Pharmacy
  • San Bernardino, CA
  • NPI 1295599561
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Eric Clark, PHARMD

  • Pharmacist
  • San Bernardino, CA
  • NPI 1851222426
  NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1265521819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2871",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924062871",
            "telephone_number": "909-882-3353",
            "fax_number": "909-882-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E HIGHLAND AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043603",
            "telephone_number": "909-882-3353",
            "fax_number": "909-882-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M E C PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-882-3353"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53469",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA406810",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151944",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Surgical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lyngladen Silagan-Fernandez DDS Inc (Kingsly Dentistry)
• Bryce Lyons, RH0016700126
• Chykira Lazeth Lyons
• Jazmine Pandora Lytle, BA
• M and S Hospice Care Inc.
• M E C Pharmacy Services Inc (American Surgical Pharmacy)
• Claudine Mae Ma, MSN NP
• Epifania Montemayor Macaraeg
• Josie Mace-Grier
• Drena Lynn Machi

• Community/Retail Pharmacy in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.