Parkers Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

55597 Issued in CA

Legal business name

PARKERS PHARMACY INC

Doing business as

Parkers Pharmacy

Practice address

102 W 5TH St
Holtville, CA 92250-1214

Phone

(760) 356-2826

Fax

(760) 356-3534

NPI assigned

Feb 7, 2007

Last updated

Nov 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anuj P ShuklaNPI 1457659799

Title

Ceo

Phone

(760) 356-2826

Specialties & licenses 1

Addresses

Other names 1

• PARKERS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

LTC Parkers Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Parkers Pharmacy Inc

  dba LTC Parkers Pharmacy

  • Long Term Care Pharmacy
  • Holtville, CA
  • NPI 1184449324
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anuj P Shukla, M.S.

  • Pharmacist
  • Holtville, CA
  • NPI 1457659799
  NPD Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1952441263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 5TH ST",
            "city": "HOLTVILLE",
            "state": "CA",
            "postal_code": "922501214",
            "telephone_number": "760-356-2826",
            "fax_number": "760-356-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 5TH ST",
            "city": "HOLTVILLE",
            "state": "CA",
            "postal_code": "922501214",
            "telephone_number": "760-356-2826",
            "fax_number": "760-356-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKERS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "ANUJ",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-356-2826",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "55597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holtville Usd
• Imperial County Communty Mental Health Center
• Angelica Padilla Jauregui
• Kaylin Mamer, SLPA
• Parkers Pharmacy Inc (LTC Parkers Pharmacy)
• Benjamin Edward Pettit, RADT
• Raizes
• Raizes
• Renester Villa, LLC (Blossom Valley Inn Adult Day Health Care Center)
• Francisca Yessenia Rico Murillo, MASTER'S

• Community/Retail Pharmacy in Holtville, CA
• Providers in Holtville, 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 Nov 21, 2024; 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.