Mikmara Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48339 Issued in CA

Legal business name

MIKMARA INC

Doing business as

ALLEN PHARMACY

Practice address

333 C St Ste 100
San Diego, CA 92101-4809

Phone

(619) 232-8101

Fax

(619) 232-8855

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Kim Phung

Title

Owner

Phone

(619) 708-1797

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• ALLEN PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1659436079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 C ST STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014809",
            "telephone_number": "619-232-8101",
            "fax_number": "619-232-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 C ST STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014809",
            "telephone_number": "619-232-8101",
            "fax_number": "619-232-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKMARA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "PHUNG",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-708-1797"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48339",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992766",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALLEN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faith Mikhail
• Mark Sameh Mikhail, RADT
• Natalia Mikhail
• Diana Mikhailova, PHARM.D.
• Megan Maija Mikkonen
• Karen M Mikolic, PH.D.
• Athena Mikros, MD
• Rebecca Miksic, OTR/L
• Adrian George Mikulicich, MD
• Michael A Mikus, M.D.

• Community/Retail Pharmacy in San Diego, CA
• Providers in San Diego, 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 Nov 24, 2020; 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.