Christine Mitry, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

074740 Issued in CA

Practice address

6490 Clayton Rd
Clayton, CA 94517-1153

Phone

(925) 673-2803

Fax

(925) 673-5530

NPI assigned

Apr 7, 2019

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Longs Drug Stores California, LLC

  • Pharmacy
  • Clayton, CA
  • NPI 1235322009
  NPD (past)
• Longs Drug Store California LLC

  • Pharmacy
  • Kapolei, HI
  • NPI 1700565793
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 7, 2019.

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554595200000",
    "number": "1306309489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FRESCO CT",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134268",
            "telephone_number": "925-690-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 CLAYTON RD",
            "city": "CLAYTON",
            "state": "CA",
            "postal_code": "945171153",
            "telephone_number": "925-673-2803",
            "fax_number": "925-673-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITRY",
        "first_name": "CHRISTINE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-07",
        "last_updated": "2019-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "074740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DRIVERS LICENSE",
            "identifier": "F8233082",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherman Chuck Mah, R.PH.
• Christina P. Mason, D.D.S.
• Jennifer Mellin, AMFT
• Alison Meyer, OTR/L
• Cliff Mills
• Seong Kit Moore, PHARMD
• William L Morfeld, M.D.
• Chris John Murray, RADT
• Dana T Nguyen, RPH
• Novotny Psychotherapy, P.C.

• All providers in Clayton, CA
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2019; 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.