2 M Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Altadena, CA
NPI 1851386643 · NPPES record last updated Apr 29, 2024
Key facts
- NPI
- 1851386643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- 2 M PHARMACY INC
- Practice address
- 2333 Lake Ave Ste D
Altadena, CA 91001-6014 - Phone
- (626) 797-1163
- Fax
- (626) 791-8074
- NPI assigned
- Sep 16, 2005
- Organization subpart
- No
Authorized official
- Name
- Michael Miller, RPH
- Title
- President/Ceo/Pic
- Phone
- (626) 797-1163
Subparts reporting this organization as parent 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201211002128 | CA | Part B Supplier - Pharmacy | 7911319124 | Practice locations: Altadena, CA |
National Provider Directory
Locations
2333 Lake Ave
Ste D
Altadena, CA 91001
Phone (626) 797-1163
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
2333 Lake Ave Ste D
Altadena, CA 91001-6014
Mailing address
2333 Lake Ave Ste D
Altadena, CA 91001-6014
Phone (626) 797-1163
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2128193 | Other | PK | |
| PHY59490 | Other | CA | BOARD OF PHARMACY |
Other names
- Webster's Pharmacy
Other providers in Altadena, CA
- 2 M Pharmacy Inc
- 20/10 Vision Care Optometry
- Karim Abdel-Wahab
- Nicole Ajalat Abraham
- Francisca Acosta
- Hugh John Adair
All providers in Altadena, CA · Community/Retail Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.