Pearsons Medical Group Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY56123 Issued in CA

Legal business name

PEARSONS MEDICAL GROUP PHARMACY

Practice address

1700 N Waterman Ave
San Bernardino, CA 92404

Phone

(909) 883-3088

Fax

(909) 881-2208

NPI assigned

Jun 14, 2005

Organization subpart

No

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

Authorized official

Name

Maria DownsNPI 1851776173

Title

President

Phone

(909) 883-3088

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pearson's Medical Group Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

Pearson'S Medical Group Pharmacy2 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.

• Pearsons Medical Group Pharmacy

  • Long Term Care Pharmacy
  • San Bernardino, CA
  • NPI 1487451860
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Downs

  • Pharmacist
  • San Bernardino, CA
  • NPI 1851776173
  NPD Authorized official

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1790780070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045115",
            "telephone_number": "909-883-3088",
            "fax_number": "909-881-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "909-883-3088",
            "fax_number": "909-881-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARSONS MEDICAL GROUP PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "DOWNS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-883-3088"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY56123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA206080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearson's Medical Group Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peacefulness Mental Health Inc
• Peacock Desert Rose Services Limited
• Elsa Olivia Pearce
• Charles Pearson, MFTI
• Pearsons Medical Group Pharmacy
• Lisa Pederson, SLPA
• Pediatric Cardiology Specialists Medical Group Inc
• Keanna M Pedroza
• Sandra Peeke, FNP
• Geovanny Pelayo

• Pharmacy in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.