Active NPI
Mercury Pharmacy Corporation
- Community/Retail Pharmacy
- Vallejo, CA
National Provider Identifier
1912323155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 51790
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ricardo Angel Duenas
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912323155 | Medicaid | CA |
Other names 1
- CENTRAL PHARMACY #002
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| RESTful URL | richie@mercury-rx.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161108002506 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7517246895 | Practice locations: Vallejo, CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Vallejo, CA
- NPI 1326372608
-
- Pharmacist
- Vallejo, CA
- NPI 1003126632
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.