Sky Pharma Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

51646 Issued in CA

Legal business name

SKY PHARMA CORP

Doing business as

The Medicine Shoppe

Practice address

10237 Magnolia Ave
Riverside, CA 92503-3440

Phone

(951) 509-9277

Fax

(951) 509-9288

NPI assigned

Oct 23, 2013

Last updated

Dec 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Tadros, RPHNPI 1952647489

Title

Pharmacist in Charge /Ceo

Phone

(951) 509-9277

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• The Medicine Shoppe Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Edward Milad Tadros, RPH

  • Community/Retail Pharmacy
  • Riverside, CA
  • NPI 1952647489
  NPD (past) Authorized official

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1326476631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10237 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033440",
            "telephone_number": "951-509-9277",
            "fax_number": "951-509-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10237 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033440",
            "telephone_number": "951-509-9277",
            "fax_number": "951-509-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY PHARMA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "TADROS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE /CEO",
        "authorized_official_telephone_number": "951-509-9277",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51646",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "51646",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "CA",
            "license": "99865",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "51646",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA51646",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee Skidmore
• Lisa Skinner, MD
• Nicole Geraldine Skinner
• Karen L Skorem, M.A., LMFT
• Christopher Skorka, MD
• Belle Skydancer
• Lynn L Slaughter, R.N.
• Mark Anthony Slaughter Sr., LVN
• Rickey L Slaughter, LMFT
• Susan Slaughter, SUDCC

• Community/Retail Pharmacy in Riverside, CA
• Providers in Riverside, 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 Dec 7, 2016; 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.