Sabrina Enterprises, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHA35213 Issued in CA

Legal business name

SABRINA ENTERPRISES, INC.

Doing business as

Dwaynes Friendly Pharmacy

Practice address

644 W Line St
Bishop, CA 93514-3315

Phone

(760) 872-2497

Fax

(760) 872-3935

NPI assigned

Dec 21, 2005

Organization subpart

No

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

Authorized official

Name

Dwayne Norton Wilson, R.PH.NPI 1215539523

Title

Owner/Manager

Phone

(760) 872-2522

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Dwaynes Friendly Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dwayne Norton Wilson

  • Pharmacist
  • Bishop, CA
  • NPI 1215539523
  NPD Authorized official
• Clayton Wilson

  • Pharmacist
  • Bishop, CA
  • NPI 1770185860
  NPD

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1336125236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 W LINE ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143315",
            "telephone_number": "760-872-2497",
            "fax_number": "760-872-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 W LINE ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143315",
            "telephone_number": "760-872-2497",
            "fax_number": "760-872-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABRINA ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "NORTON",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "760-872-2522",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHA35213",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA352130",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "0589777",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLU PROVIDER #",
            "identifier": "FLU11421F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dwaynes Friendly Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Rottner
• Round Valley Joint Elementary School District
• Robert Nathan Rubio, RBT
• Stephanie Marie Rubio, RBT
• Vanessa Ruggio
• Michelle Leann Saenz, MFT
• Sage to Summit
• Sandra Salazar, RDN
• Doris Santiago, LMFT
• Deo Delos Santos

• Pharmacy in Bishop, CA
• Providers in Bishop, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.