Organization Active NPI

Your Drug Store Inc

  • Community/Retail Pharmacy
  • Bakersfield, CA
National Provider Identifier
1306998653
Registry record updated Oct 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY30792 Issued in CA
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

Updated by the provider on Oct 20, 2024

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

Authorized official

Name
Dr. Elizabeth Marie Altmiller, PHARMDNPI 1861849390
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHA307920MedicaidCA
2028511OtherPK

Other names 1

  • YOUR DRUG STORE Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.