Merced Drug

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY43562 Issued in CA

Legal business name

MERCED DRUG

Doing business as

Merced Drug

Practice address

35 E 16TH St
Merced, CA 95340-5020

Phone

(209) 388-1080

Fax

(209) 388-1537

NPI assigned

Apr 3, 2007

Last updated

Jun 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rafael Valazquez, PHARMD

Title

Owner

Phone

(209) 388-1080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MERCED DRUG Doing business as

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1821119371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E 16TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953405020",
            "telephone_number": "209-388-1080",
            "fax_number": "209-388-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E 16TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953405020",
            "telephone_number": "209-388-1080",
            "fax_number": "209-388-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCED DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "VALAZQUEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-388-1080",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY43562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2004904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCED DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Merced County Mental Health BHRS
• Merced County Office of Education
• Merced County Physicians
• Merced County, Behavioral Health and Recovery Services
• Merced Department of Public Health
• Merced Emergency Physicians Medical Group, Inc.
• Merced Faculty Associates Medical Group Incorporated (MFA Parkside)
• Merced Faculty Associates Medical Group Incorporated (El Portal Endosurgery Center)
• Merced Faculty Associates Medical Group Incorporated
• Merced Faculty Associates Medical Group Incorporated (Olivewood Meadows Occupational Health Center)

• Community/Retail Pharmacy in Merced, CA
• Providers in Merced, 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 Jun 1, 2016; 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.