Organization Active NPI

Medi-Mart Pharmacy Partners, LP

  • Pharmacist
  • Marysville, CA
National Provider Identifier
1487676383
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY46626 Issued in CA
Legal business name
MEDI-MART PHARMACY PARTNERS, LP
Practice address
5993 Lindhurst Ave
Marysville, CA 95901-6100
Phone
(530) 742-8808
Fax
(530) 742-8888
NPI assigned
Jul 23, 2006
Last updated
Oct 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Mr. Robert H Sherman
Title
General Partner
Phone
(530) 742-8808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PHY46626 CA Primary

Addresses

Primary practice location

5993 Lindhurst Ave
Marysville, CA 95901-6100

Mailing address

5993 Lindhurst Ave
Marysville, CA 95901-6100
Phone (530) 742-8808

Other identifiers 1

IdentifierTypeStateIssuer
PHY46626OtherCAPHARMACY LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

5993 Lindhurst Ave
Marysville, CA 95901
Phone (530) 742-8808

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1487676383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5993 LINDHURST AVE",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016100",
            "telephone_number": "530-742-8808",
            "fax_number": "530-742-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5993 LINDHURST AVE",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016100",
            "telephone_number": "530-742-8808",
            "fax_number": "530-742-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-MART PHARMACY PARTNERS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "530-742-8808",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY46626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "PHY46626",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.