Six Degrees, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SIX DEGREES, INC.

Practice address

15247 11TH St.
1000A & 1000B
Victorville, CA 92395-3727

Phone

(760) 245-7761

Fax

(760) 245-8303

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Marianne Antonio

Title

Ceo

Phone

(954) 744-9397

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Prescription Shoppe Doing business as

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1972524932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15247 11TH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953727",
            "telephone_number": "760-245-7761",
            "fax_number": "760-245-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15247 11TH ST.",
            "address_2": "1000A & 1000B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953727",
            "telephone_number": "760-245-7761",
            "fax_number": "760-245-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIX DEGREES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "ANTONIO",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-744-9397"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1998716",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randall Lewis Sinclair, MFT
• Joana Darc Marreiro Singh, DDS
• Karanvir Singh, PHARMD
• Samuel Sinkfield
• Jeannie Situ, OD
• Daniel Sixtos
• Rickey Skare
• Warren Sloan, FNP
• Christine Sloat, NURSE PRACTITIONER
• Tracy Small III, AMFT APCC

• Community/Retail Pharmacy in Victorville, CA
• Providers in Victorville, 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 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.