St. Mary Health Ventures Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY41009 Issued in CA

Legal business name

ST. MARY HEALTH VENTURES INC

Doing business as

ATLANTIC PROFESSIONAL PHARMACY

Practice address

1045 Atlantic Ave
Suite 102
Long Beach, CA 90813-3408

Phone

(562) 491-9799

Fax

(562) 491-9058

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Sharon McNealy

Title

Controller/Ao

Phone

(562) 491-9189

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ATLANTIC PROFESSIONAL PHARMACY Doing business as

Tax ID family

St Mary Health Ventures Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. Mary Health Ventures, Inc.

  • Community/Retail Pharmacy
  • Long Beach, CA
  • NPI 1710002860
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• St. Mary Health Ventures, Inc.

  • Community/Retail Pharmacy
  • Long Beach, CA
  • NPI 1710002860
  NPPES parent name

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1386741122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "SUITE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133408",
            "telephone_number": "562-491-9799",
            "fax_number": "562-491-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "SUITE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133408",
            "telephone_number": "562-491-9799",
            "fax_number": "562-491-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY HEALTH VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "MCNEALY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CONTROLLER/AO",
        "authorized_official_telephone_number": "562-491-9189"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY41009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA410090",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1991471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATLANTIC PROFESSIONAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alysia Ann St. Clair
• Terrie Thomas St. Germain, D.D.S.
• Michael Henry St. Jean
• Tina St. Julian
• Lia S St. Junius
• St. Mary Health Ventures, Inc.
• St. Mary Medical Center
• St. Marys Radiation Oncology Medical Group
• St. Michael Surgery Center, LLC
• Sarah St.John

• Community/Retail Pharmacy in Long Beach, CA
• Providers in Long Beach, 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 Feb 16, 2017; 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.