Organization Active NPI

Pharmkee, Inc.

Doing business as Mendota Drug

  • Pharmacy
  • Mendota, CA
National Provider Identifier
1881780757
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY37392 Issued in CA
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHA373920MedicaidCA
0537754OtherCANCPDP

Other names 1

  • Mendota Drug Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.