NPIMap

Organization Active NPI

Mission Wellness Pharmacy

  • Pharmacist
  • San Francisco, CA
National Provider Identifier
1740601764
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHA 51572 Issued in CA
Legal business name
MISSION WELLNESS PHARMACY
Practice address
2424 Mission St
San Francisco, CA 94110-2415
Phone
(415) 826-3484
NPI assigned
Dec 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Maria Lopez Andrzejek, PHARMD
Title
Owner
Phone
(415) 826-3484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PHA 51572 CA Primary

Addresses

Primary practice location

2424 Mission St
San Francisco, CA 94110-2415

Mailing address

2424 Mission St
San Francisco, CA 94110-2415

Other identifiers 1

IdentifierTypeStateIssuer
PHA 51572OtherCACA STATE LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Los Portales Pharmacy3 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": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1740601764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102415",
            "telephone_number": "415-826-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION WELLNESS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "ANDRZEJEK",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LOPEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-826-3484",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHA 51572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE NUMBER",
            "identifier": "PHA 51572",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.