Active NPI
Redwood Pharmacies
- Community/Retail Pharmacy
- Eureka, CA
National Provider Identifier
1659477529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY45220
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA452200 | Medicaid | CA |
Other names 1
- Myrtletowne
National Provider Directory
National Provider Directory- Tax ID family
- Myrtletowne
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Eureka, CA
- NPI 1629075916
-
- Pharmacy
- Eureka, CA
- NPI 1659378933
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.