Organization Active NPI

1St Pharmacy Inc

Doing business as 1St Pharmacy

  • Community/Retail Pharmacy
  • Bakersfield, CA
National Provider Identifier
1871269191
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
1ST PHARMACY INC
Doing business as
1St Pharmacy
Practice address
1201 24TH St Ste B120
Bakersfield, CA 93301-2382
Phone
(616) 679-8999
NPI assigned
Aug 17, 2021
Last updated
Mar 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Maher Alkhalaileh
Title
Owner
Phone
(661) 679-8999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1201 24TH St Ste B120
Bakersfield, CA 93301-2382

Mailing address

1201 24TH St Ste B120
Bakersfield, CA 93301-2382
Phone (616) 679-8999

Other names 1

  • 1ST PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220214001731 CA Part B Supplier - Mass Immunization (Roster Biller Only) 6800289992 Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory

Locations

9922 Katella Ave
Anaheim, CA 92804
Phone (714) 539-4096

9922 Katella Ave
#P
Anaheim, CA 92804
Phone (714) 636-3397

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1871269191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 24TH ST STE B120",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012382",
            "telephone_number": "616-679-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 24TH ST STE B120",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012382",
            "telephone_number": "616-679-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "ALKHALAILEH",
        "authorized_official_first_name": "MAHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-679-8999"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1ST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.