Active NPI
Medical Tree Pharmacy Inc
- Community/Retail Pharmacy
- Santa Cruz, CA
National Provider Identifier
1699846600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY375630
- Legal business name
- MEDICAL TREE PHARMACY INC
- Practice address
- 1203 Mission St
Santa Cruz, CA 95060 - Phone
- (831) 426-4252
- Fax
- (831) 471-0504
- NPI assigned
- Nov 13, 2006
- Last updated
- Jul 11, 2008
- 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
- Roger William McFall, RPH
- Title
- Pharmacist
- Phone
- (831) 426-4252
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PHY375630 | CA | Primary |
Addresses
Primary practice location
1203 Mission St
Santa Cruz, CA 95060
Mailing address
1203 Mission St
Santa Cruz, CA 95060
Phone (831) 426-4252
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA375630 | Medicaid | CA | |
| 0567000 | Other | OTHER ID NUMBER |
Other names 1
- TOMS MEDICAL PHARMACY WESTSIDE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215734400000",
"number": "1699846600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 MISSION ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95060",
"telephone_number": "831-426-4252",
"fax_number": "831-471-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 MISSION ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95060",
"telephone_number": "831-426-4252",
"fax_number": "831-471-0504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL TREE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2008-07-11",
"status": "A",
"authorized_official_last_name": "MCFALL",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "831-426-4252",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY375630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA375630",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "0567000",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TOMS MEDICAL PHARMACY WESTSIDE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.