NPIMap

Organization Active NPI

Meadowmont Pharmacy

  • Pharmacist
  • Arnold, CA
National Provider Identifier
1427428119
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
37281 Issued in CA
Legal business name
MEADOWMONT PHARMACY
Practice address
2182 Highway 4
Arnold, CA 95223-9908
Phone
(209) 795-1155
NPI assigned
Oct 7, 2015
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Mr. Patrick W Crosby, PHARMD
Title
Pharmacist
Phone
(209) 795-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 37281 CA Primary

Addresses

Primary practice location

2182 Highway 4
Arnold, CA 95223-9908

Mailing address

2182 Hwy 4
Arnold, CA 95223
Phone (209) 795-6862

National Provider Directory

National Provider Directory
Tax ID family
Meadowmont Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2182 Hwy 4
Arnold, CA 95223
Phone (209) 795-1155

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1427428119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2182 HWY 4",
            "city": "ARNOLD",
            "state": "CA",
            "postal_code": "95223",
            "telephone_number": "209-795-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 HIGHWAY 4",
            "city": "ARNOLD",
            "state": "CA",
            "postal_code": "952239908",
            "telephone_number": "209-795-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWMONT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "209-795-1155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "37281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.