Siskiyou Pharmacy Services Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

44071 Issued in CA

Legal business name

SISKIYOU PHARMACY SERVICES INC

Doing business as

Medical Center Pharmacy / M C Medical Equipment

Practice address

742 South Main St
Yreka, CA 96097

Phone

(530) 842-4301

Fax

(530) 842-9416

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Candice K Amens

Title

Cfo

Phone

(530) 842-4302

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Medical Center Pharmacy / M C Medical Equipment Doing business as

Locations

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1376556001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 533",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973319",
            "telephone_number": "530-842-4302",
            "fax_number": "530-842-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 SOUTH MAIN ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "96097",
            "telephone_number": "530-842-4301",
            "fax_number": "530-842-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISKIYOU PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "AMENS",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-842-4302"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "44071",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "35335",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "TCH65225",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "TCH48386",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA466320",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0501189",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Pharmacy / M C Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Siskiyou Hospital Inc
• Siskiyou Hospital Inc.
• Siskiyou Hospital, Inc.
• Siskiyou Hospital, Inc.
• Siskiyou Optical
• Siskiyou Professional Medical Service, Prof. Corp.
• Richard Slarve, M.D.
• Tari L Slizewski, LMFT
• Smart Siskiyou Medical Arts, Inc.
• Delores Smith

• Pharmacist in Yreka, CA
• Providers in Yreka, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.