Mission Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY45806 Issued in CA

Legal business name

MISSION PHARMACY INC

Doing business as

Mission Pharmacy Services Inc

Practice address

400 Plumas Blvd
Ste 100
Yuba City, CA 95991-5081

Phone

(530) 674-7214

Fax

(530) 674-9238

NPI assigned

Feb 15, 2007

Last updated

Dec 10, 2014By 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

Hector Camacho, RPHNPI 1194306035

Title

Owner/Pic

Phone

(530) 743-5451

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MISSION PHARMACY SERVICES INC Doing business as

Locations

Practitioners 1

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.

• Hector Camacho, PHARM D

  • Pharmacist
  • Olivehurst, CA
  • NPI 1194306035
  NPD Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1275676330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PLUMAS BLVD",
            "address_2": "STE 100",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959915081",
            "telephone_number": "530-674-7214",
            "fax_number": "530-743-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PLUMAS BLVD",
            "address_2": "STE 100",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959915081",
            "telephone_number": "530-674-7214",
            "fax_number": "530-674-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "530-743-5451",
        "authorized_official_credential": "RPH"
    },
    "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": "PHY45806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA458060",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2001372",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISSION PHARMACY SERVICES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaneil Kyion Miller
• Ramona Maria Mimila
• Sabrina Minchew
• Morgan Raeann Minjares
• Cassandra Manuela Mintzas, LMFT
• Jasmine Alexia Mitchel
• Logan Henry Mitchell, DPM
• Noeme Mitchell
• Kansas Lindsey Moffatt
• Cleo A Moffitt, F.N.P.

• Community/Retail Pharmacy in Yuba City, CA
• Providers in Yuba City, 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 Dec 10, 2014; 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.