Organization Active NPI

Medrx Pharma Inc

  • Long Term Care Pharmacy
  • San Bernardino, CA
National Provider Identifier
1790517878
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MEDRX PHARMA INC
Doing business as
North D LTC Pharmacy
Practice address
1556 N D St Ste B
San Bernardino, CA 92405-4710
Phone
(909) 515-0551
Fax
(909) 515-0552
NPI assigned
Aug 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Phoebe Ruth Martin
Title
Owner
Phone
(909) 515-0551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1556 N D St Ste B
San Bernardino, CA 92405-4710

Mailing address

1556 N D St Ste B
San Bernardino, CA 92405-4710
Phone (909) 515-0551

Other names 1

  • North D LTC Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medrx Pharma Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1790517878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 N D ST STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054710",
            "telephone_number": "909-515-0551",
            "fax_number": "909-515-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 N D ST STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054710",
            "telephone_number": "909-515-0551",
            "fax_number": "909-515-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDRX PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "PHOEBE RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-515-0551"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North D LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.