Mesa Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48992 Issued in CA

Legal business name

MESA PHARMACY INC

Practice address

1900 Royalty Dr
Ste 190
Pomona, CA 91767-3032

Phone

(909) 623-8600

Fax

(909) 623-8686

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Andrew Minh

Title

President

Phone

(702) 354-7578

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MESA PHARMACY VI Doing business as

Tax ID family

Mesa Pharmacy III2 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.

• Mesa Pharmacy Inc

  • Community/Retail Pharmacy
  • Pomona, CA
  • NPI 1841302775
  NPD tax ID

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1285807511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18013 SKY PARK CIR",
            "address_2": "STE D",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146518",
            "telephone_number": "949-955-2975",
            "fax_number": "949-955-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ROYALTY DR",
            "address_2": "STE 190",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673032",
            "telephone_number": "909-623-8600",
            "fax_number": "909-623-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "MINH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-354-7578"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5630339",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MESA PHARMACY VI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Norene Merchant, P.A.-C.
• Yvette Darlene Merchant, C.A.T.C.
• Mercy Medical Supply Inc.
• Shaun Meredith
• Ramanna Merla, MD
• Mesa Pharmacy Inc
• Briana Nicole Messerschmidt, MFTI
• Yasmin Mestas
• Marga W Methu
• Laura Estelle Metraux

• Community/Retail Pharmacy in Pomona, CA
• Providers in Pomona, 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 Jun 22, 2010; 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.