Farmacia de Anza

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

FARMACIA DE ANZA

Practice address

401 E Birch St Ste D
Calexico, CA 92231-4526

Phone

(760) 890-5977

NPI assigned

Sep 22, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Gary David Metelski, RPHNPI 1548914575

Title

Cfo/President

Phone

(760) 234-9171

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary David Metelski

  • Pharmacist
  • Calexico, CA
  • NPI 1548914575
  NPD Authorized official

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1578342192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E BIRCH ST STE D",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314526",
            "telephone_number": "760-890-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E BIRCH ST STE D",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314526",
            "telephone_number": "760-890-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIA DE ANZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "METELSKI",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CFO/PRESIDENT",
        "authorized_official_telephone_number": "760-234-9171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime E Estrada, MD
• Martin Daniel Estrada
• Zaney Estrada
• Marianna Villalobos Estrella
• Elizabeth Fajardo
• Alireza Farmanian
• Douglas Howard Ferguson, SPEECH LANGUAGE PATH
• David Fernandez
• Mayra Fernandez
• Juliet Ellen Fliegel, M.D

• Pharmacy in Calexico, CA
• Providers in Calexico, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.