Yreka Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

YREKA PHARMACY INC

Doing business as

Yreka Pharmacy

Practice address

748 S Main St
Yreka, CA 96097-3319

Phone

(530) 698-0990

NPI assigned

May 7, 2019

Last updated

May 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tony Ibrahim

Title

Ceo

Phone

(530) 698-0990

Specialties & licenses 3

Addresses

Other names 1

• Yreka Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1528623287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 S MAIN ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973319",
            "telephone_number": "530-698-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 S MAIN ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973319",
            "telephone_number": "530-698-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YREKA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-698-0990"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yreka Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Yreka Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Todd Alvin Young, D.D.S.
• Moudy Samir Youssef, M.D.
• Youth Empowerment Siskiyou
• Yreka Chiropractic Dr J C Morris D C Inc
• Yreka Chiropractic Dr J C Morris Inc
• Yreka Pharmacy, Inc. (Yreka Pharmacy)
• Yreka Union Elementary School District
• Yreka Union High School District
• Yreka Womens Clinic a Medical Corporation
• Stephanie Zack, LCSW

• Community/Retail Pharmacy in Yreka, CA
• Providers in Yreka, 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 May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.