Organization Active NPI

Redwood Pharmacies

  • Community/Retail Pharmacy
  • Eureka, CA
National Provider Identifier
1659477529
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY45220 Issued in CA
Legal business name
REDWOOD PHARMACIES
Practice address
1694 Myrtle Ave
Eureka, CA 95501-1403
Phone
(707) 443-4885
Fax
(707) 443-6527
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Mr. Dennis Steven Toney, R.PH.
Title
President Owner
Phone
(707) 442-5774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY45220 CA Primary

Addresses

Primary practice location

1694 Myrtle Ave
Eureka, CA 95501-1403

Mailing address

PO Box 6400
Eureka, CA 95502-6400
Phone (707) 443-4885

Other identifiers 1

IdentifierTypeStateIssuer
PHA452200MedicaidCA

Other names 1

  • Myrtletowne Other name

National Provider Directory

National Provider Directory
Tax ID family
Myrtletowne3 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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1659477529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6400",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955026400",
            "telephone_number": "707-443-4885",
            "fax_number": "707-443-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1694 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011403",
            "telephone_number": "707-443-4885",
            "fax_number": "707-443-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD PHARMACIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "TONEY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT    OWNER",
        "authorized_official_telephone_number": "707-442-5774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY45220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA452200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myrtletowne",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.