MDM Pharmacy Services LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MDM PHARMACY SERVICES LLC

Doing business as

New Pharmacy

Practice address

57725 29 Palms Hwy Ste 209
Yucca Valley, CA 92284-3046

Phone

(760) 228-1600

NPI assigned

Jul 1, 2024

Organization subpart

No

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

Authorized official

Name

Maher Michail

Title

Owner

Phone

(760) 228-1600

Specialties & licenses 1

Addresses

Other names 1

• New Pharmacy Doing business as

Tax ID family

MDM Pharmacy Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MDM Pharmacy Services LLC

  • Community/Retail Pharmacy
  • Yucca Valley, CA
  • NPI 1801231428
  NPD tax ID

Locations

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1720824659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57725 29 PALMS HWY STE 209",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843046",
            "telephone_number": "760-228-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57725 29 PALMS HWY STE 209",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843046",
            "telephone_number": "760-228-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDM PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "MICHAIL",
        "authorized_official_first_name": "MAHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-228-1600"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina Rose McElfish, C.P.N.P.
• Donna M. McGee
• Gregory Joel McGuinn, PA-C
• Sharon D McIntosh
• Lucenther Cynthia McKethan
• MDM Pharmacy Services LLC
• Kathleen Jayo Meads, MFT INTERN
• Medi-Source Equipment & Supply Inc
• Medical Specialty Center
• Medical Specialty Center

• Long Term Care Pharmacy in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.