Active NPI
Pharmkee, Inc.
Doing business as Mendota Drug
- Pharmacy
- Mendota, CA
National Provider Identifier
1881780757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY37392
- Legal business name
- PHARMKEE, INC.
- Doing business as
- Mendota Drug
- Practice address
- 497 Oller St
Mendota, CA 93640-2312 - Phone
- (559) 655-4254
- Fax
- (559) 655-4280
- NPI assigned
- Oct 5, 2006
- Last updated
- Jun 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas K Wilcox, PHARM.D.
- Title
- Director
- Phone
- (559) 846-9396
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | PHY37392 | CA | Primary |
Addresses
Primary practice location
497 Oller St
Mendota, CA 93640-2312
Mailing address
497 Oller St
Mendota, CA 93640-2312
Phone (559) 655-4254
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA373920 | Medicaid | CA | |
| 0537754 | Other | CA | NCPDP |
Other names 1
- Mendota Drug
National Provider Directory
National Provider DirectoryLocations
497 Oller St
Mendota, CA 93640
Phone (559) 382-2080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275955200000",
"number": "1881780757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "497 OLLER ST",
"city": "MENDOTA",
"state": "CA",
"postal_code": "936402312",
"telephone_number": "559-655-4254",
"fax_number": "559-655-4280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "497 OLLER ST",
"city": "MENDOTA",
"state": "CA",
"postal_code": "936402312",
"telephone_number": "559-655-4254",
"fax_number": "559-655-4280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMKEE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2010-06-08",
"status": "A",
"authorized_official_last_name": "WILCOX",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "559-846-9396",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY37392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA373920",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "0537754",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mendota Drug",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mendota, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.