M and T Enterprises, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

36865 Issued in CA

Legal business name

M AND T ENTERPRISES, INC.

Practice address

2445 Oroville Dam Boulevard
Suite 9
Oroville, CA 95966

Phone

(530) 532-9555

Fax

(530) 534-1436

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Palmer, RPH

Title

Pharmacist / Owner

Phone

(530) 532-9555

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Table Mountain Pharmacy Doing business as

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1811052202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 OROVILLE DAM BLVD",
            "address_2": "SUITE 9",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "95966",
            "telephone_number": "530-532-9555",
            "fax_number": "530-534-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 OROVILLE DAM BOULEVARD",
            "address_2": "SUITE 9",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "95966",
            "telephone_number": "530-532-9555",
            "fax_number": "530-534-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M AND T ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST / OWNER",
        "authorized_official_telephone_number": "530-532-9555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "36865",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "36865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA328600",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "2278114",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Table Mountain Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Janai Lund
• Lundberg Sleep Studies
• Mark Andrew Lundberg, M.D.
• Roxanne Lundin-Crittenden, RN, CNM
• Erik Lyon, M.S.
• M. Robert Ching, M.D., Inc.
• Matthew Joseph Macdonald, MD
• Chakravarthy S Maddipati, M.D.
• Sebastian Boy Mission Maderazo, CRNA
• Keandre Laron Madkins-Hal

• Community/Retail Pharmacy in Oroville, CA
• Providers in Oroville, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.