Mulberry Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MULBERRY PHARMACY LLC

Practice address

15025 Mulberry Dr
Whittier, CA 90604-1528

Phone

(562) 358-4009

NPI assigned

Dec 6, 2019

Organization subpart

No

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

Authorized official

Name

Taylor Jensen

Title

Owner

Phone

(562) 358-4009

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Megan Martin, PHARM D

  • Pharmacist
  • Yorba Linda, CA
  • NPI 1629528708
  NPD
• Jeffrey Alan Paresa, PHARM.D.

  • Pharmacist
  • Whittier, CA
  • NPI 1720365984
  NPD

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1275170409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15025 MULBERRY DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906041528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15025 MULBERRY DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906041528",
            "telephone_number": "562-358-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULBERRY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-358-4009"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "PHY57330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• May Mudarry Daw, M.D.
• Yuk K Mui, M.D.
• Russell Muir, ED.D., ATC
• Maria Mujica
• Mukesh Shah MD
• Jeffrey Augustine Muller, DDS
• Anna Munoz Chavira, MD
• Julissa Munoz
• Stephanie Jasmine Munoz
• Laura Jessica Munro

• Community/Retail Pharmacy in Whittier, CA
• Providers in Whittier, 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 Mar 31, 2021; 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.