Clinic Pharmacies III LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

53345 Issued in CA

Legal business name

CLINIC PHARMACIES III LLC

Practice address

344 E 6TH St Ste 101
Madera, CA 93638-3631

Phone

(559) 479-4580

Fax

(559) 479-4582

NPI assigned

Jun 18, 2015

Organization subpart

Yes

Parent organization

CLINIC PHARMACIES III LLCAs reported in NPPES

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

Authorized official

Name

Michael D Brown

Title

Vice President, Managed Services

Phone

(281) 749-4764

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Camarena Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Clinic Pharmacies III LLC

  • Community/Retail Pharmacy
  • Grass Valley, CA
  • NPI 1063894756

  O20250414001748

  Same enrollment

Tax ID family

Clinic Pharmacies III LLC2 organizations share this tax ID, including this one

Part of

Clinic Pharmacies III LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clinic Pharmacies III LLC

  • Community/Retail Pharmacy
  • Grass Valley, CA
  • NPI 1063894756
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Marquez Hsieh, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • San Dimas, CA
  • NPI 1144692195
  NPD (past)

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1891177580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ATTN: CHC RETAIL PHARMACY DEPT. 13651 DUBLIN CT",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "77477",
            "telephone_number": "281-749-4000",
            "fax_number": "614-652-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E 6TH ST STE 101",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383631",
            "telephone_number": "559-479-4580",
            "fax_number": "559-479-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC PHARMACIES III LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINIC PHARMACIES III LLC",
        "enumeration_date": "2015-06-18",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT, MANAGED SERVICES",
        "authorized_official_telephone_number": "281-749-4764"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "53345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153027",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camarena Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Camarena Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley B Clark, PHARM.D.
• Clearee Dialysis LLC
• Cleveland Pharmacy Inc
• Cleveland Pharmacy Inc
• Bethany Ranay Cline
• Margaret Cobbey
• Wendy Cockrum
• Shelby Lynne Walters Cody, MD
• Coh Services Incorporated
• Joan Colbert

• Community/Retail Pharmacy in Madera, CA
• Providers in Madera, 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 Sep 6, 2022; 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.