Organization Active NPI

St Cyril Inc

Doing business as Mesa Verde Pharmacy

  • Long Term Care Pharmacy
  • Costa Mesa, CA
National Provider Identifier
1295225126
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY56036 Issued in CA
Legal business name
ST CYRIL INC
Doing business as
Mesa Verde Pharmacy
Practice address
1525 Mesa Verde Dr E Ste 101
Costa Mesa, CA 92626-5221
Phone
(714) 884-3574
Fax
(714) 486-1027
NPI assigned
May 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Genevieve Benjamin
Title
Ceo
Phone
(714) 576-5875

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X PHY56036 CA Primary

Addresses

Primary practice location

1525 Mesa Verde Dr E Ste 101
Costa Mesa, CA 92626-5221

Mailing address

1525 Mesa Verde Dr E Ste 101
Costa Mesa, CA 92626-5221
Phone (714) 884-3574

Other identifiers 1

IdentifierTypeStateIssuer
2177690OtherPK

Other names 1

  • MESA VERDE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Camino Capistrano 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.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1295225126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 MESA VERDE DR E STE 101",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265221",
            "telephone_number": "714-884-3574",
            "fax_number": "714-486-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 MESA VERDE DR E STE 101",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265221",
            "telephone_number": "714-884-3574",
            "fax_number": "714-486-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CYRIL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-576-5875"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY56036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MESA VERDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MESA VERDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.