Organization Active NPI

Mercury Pharmacy Corporation

  • Community/Retail Pharmacy
  • Vallejo, CA
National Provider Identifier
1912323155
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
51790 Issued in CA
Legal business name
MERCURY PHARMACY CORPORATION
Practice address
3495 Sonoma Blvd Ste K
Vallejo, CA 94590-2984
Phone
(707) 200-4411
Fax
(707) 652-5906
NPI assigned
Mar 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Ricardo Angel DuenasNPI 1326372608
Title
Ceo
Phone
(707) 200-4411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 51790 CA Primary

Addresses

Primary practice location

3495 Sonoma Blvd Ste K
Vallejo, CA 94590-2984

Mailing address

5233 Reedley Way
Castro Valley, CA 94546-1502
Phone (707) 200-4411

Other identifiers 1

IdentifierTypeStateIssuer
1912323155MedicaidCA

Other names 1

  • CENTRAL PHARMACY #002 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL richie@mercury-rx.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161108002506 CA Part B Supplier - Mass Immunization (Roster Biller Only) 7517246895 Practice locations: Vallejo, CA

National Provider Directory

National Provider Directory

Locations

3495 Sonoma Blvd
Ste K
Vallejo, CA 94590
Phone (707) 200-4411

480 Redwood St
Ste 33
Vallejo, CA 94590
Phone (707) 200-4411

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1912323155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 REEDLEY WAY",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945461502",
            "telephone_number": "707-200-4411",
            "fax_number": "707-652-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 SONOMA BLVD STE K",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902984",
            "telephone_number": "707-200-4411",
            "fax_number": "707-652-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "DUENAS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-200-4411"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912323155",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "richie@mercury-rx.com",
            "affiliation": "N",
            "endpointDescription": "CEO's EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DIRECT",
            "address_1": "3495 Sonoma Blvd Ste K",
            "city": "Vallejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945902984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CENTRAL PHARMACY #002",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.