Active NPI
Your Drug Store Inc
- Community/Retail Pharmacy
- Bakersfield, CA
National Provider Identifier
1306998653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY30792
- Legal business name
- YOUR DRUG STORE INC
- Practice address
- 2303 Niles PT
Bakersfield, CA 93306-4025 - Phone
- (661) 325-2487
- Fax
- (661) 325-0654
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elizabeth Marie Altmiller, PHARMD
- Title
- Pic, Corporate Secretary
- Phone
- (661) 325-2487
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY30792 | CA | Primary |
Addresses
Primary practice location
2303 Niles PT
Bakersfield, CA 93306-4025
Mailing address
2303 Niles PT
Bakersfield, CA 93306-4025
Phone (661) 325-2487
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA307920 | Medicaid | CA | |
| 2028511 | Other | PK |
Other names 1
- YOUR DRUG STORE
National Provider Directory
National Provider DirectoryLocations
2303 Niles Pt
Bakersfield, CA 93306
Phone (661) 325-2487
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Bakersfield, CA
- NPI 1861849390
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Bakersfield, CA
- NPI 1942549811
-
- Pharmacist
- Bakersfield, CA
- NPI 1083195721
-
- Pharmacist
- Covina, CA
- NPI 1851909592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729382400000",
"number": "1306998653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2303 NILES PT",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933064025",
"telephone_number": "661-325-2487",
"fax_number": "661-325-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 NILES PT",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933064025",
"telephone_number": "661-325-2487",
"fax_number": "661-325-0654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR DRUG STORE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2024-10-20",
"certification_date": "2024-10-20",
"status": "A",
"authorized_official_last_name": "ALTMILLER",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PIC, CORPORATE SECRETARY",
"authorized_official_telephone_number": "661-325-2487",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY30792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA307920",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2028511",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "YOUR DRUG STORE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.