Mariposa Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY10528 Issued in CA

Legal business name

MARIPOSA DRUG CO INC

Practice address

5034 Hwy 140 6TH & Charles St
Mariposa, CA 95338

Phone

(209) 966-3315

Fax

(209) 966-6131

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mark Radanovich

Title

Pharmacist in Charge

Phone

(209) 966-3315

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982745154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953380067",
            "telephone_number": "209-966-3315",
            "fax_number": "209-966-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5034 HWY 140 6TH & CHARLES ST",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "95338",
            "telephone_number": "209-966-3315",
            "fax_number": "209-966-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSA DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADANOVICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "209-966-3315"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY10528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0537576",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA105280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariposa County Health Department
• Mariposa County Office of Education
• Mariposa County Telepsychiatry
• Mariposa County Unified School District
• Mariposa County Unified School District
• Mariposa Family Chiropractic
• Mariposa Family Medicine Associates
• Mariposa Wellness, a Professional Nursing Corporation
• Thomas J Marshall
• Charlene Sarah Martin, LVN

• Community/Retail Pharmacy in Mariposa, CA
• Providers in Mariposa, 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 Aug 22, 2020; 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.