Active NPI
Isaak Mercado
- Pharmacist
- Sutter Creek, CA
National Provider Identifier
1922790047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 87731
- Practice address
- 475 Ca-49
Sutter Creek, CA 95685 - Phone
- (209) 267-5128
- NPI assigned
- May 25, 2023
- Last updated
- May 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 87731 | CA | Primary |
Addresses
Primary practice location
475 Ca-49
Sutter Creek, CA 95685
Mailing address
18 Welch LN
Ione, CA 95640-9185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87731 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
475 State Highway 49
Sutter Creek, CA 95685
Phone (209) 267-5128
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1922790047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 WELCH LN",
"city": "IONE",
"state": "CA",
"postal_code": "956409185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 CA-49",
"city": "SUTTER CREEK",
"state": "CA",
"postal_code": "95685",
"telephone_number": "209-267-5128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "ISAAK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-25",
"last_updated": "2023-05-25",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "87731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sutter Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.