Active NPI
Five Pharms, Inc.
Doing business as Mercy Plaza Pharmacy 24th Street
- Long Term Care Pharmacy
- Bakersfield, CA
National Provider Identifier
1679582662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PHY47166
- Legal business name
- FIVE PHARMS, INC.
- Doing business as
- Mercy Plaza Pharmacy 24th Street
- Practice address
- 2336 Eye Street
Bakersfield, CA 93301-4012 - Phone
- (661) 323-2925
- Fax
- (661) 716-0292
- NPI assigned
- Aug 7, 2006
- Last updated
- Jan 27, 2016
- Organization subpart
- Yes
- Parent organization
- FIVE PHARMS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dale R Taylor, RPH
- Title
- Owner/Pharmacist
- Phone
- (661) 324-2545
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH37875 | CA | |
| Long Term Care Pharmacy | 3336L0003X | PHY47166 | CA | Primary |
Addresses
Primary practice location
2336 Eye Street
Bakersfield, CA 93301-4012
Mailing address
2336 Eye St
Bakersfield, CA 93301-4012
Phone (661) 323-2925
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA471660 | Medicaid | CA | |
| PHA47166 | Medicaid | CA |
Other names 1
- Mercy Plaza Pharmacy 24th Street
National Provider Directory
National Provider Directory- Part of
- Five Pharms Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453852800000",
"number": "1679582662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2336 EYE ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933014012",
"telephone_number": "661-323-2925",
"fax_number": "661-716-0292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2336 EYE STREET",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933014012",
"telephone_number": "661-323-2925",
"fax_number": "661-716-0292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIVE PHARMS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FIVE PHARMS, INC.",
"enumeration_date": "2006-08-07",
"last_updated": "2016-01-27",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "661-324-2545",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH37875",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "CA",
"license": "PHY47166",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA471660",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA47166",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Plaza Pharmacy 24th Street",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.