DEMARTINI SPRING HILL PHARMACY INC. (NPI# 1154408292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154408292 |
| Entity Type | Organization |
| Organization Name | DEMARTINI SPRING HILL PHARMACY INC. |
| Other Organization Name | DEMARTINI'S COMPOUNDING CENTER |
| Practice Address |
102 Catherine Ln Grass Valley CA 95945-5701 |
| Mailing Address |
102 Catherine Lane Grass Valley CA 95945 |
| Practice Telephone | 5302732268 |
| Practice Fax Number | 5302735987 |
| Mailing Telephone | 5302732268 |
| Mailing Fax Number | 5302730116 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-06-03 |
| Authorized Official Name | MR. DAVID ALAN DEMARTINI (PRESIDENT) |
| Authorized Official Telephone | 5302732268 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PHY21515 | CA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY21515 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHARMACY LIC # | PHY 21515 | 01 |
| CA | NABP | 0533441 | 01 |
| CA | DEA NUMBER | AS9429590 | 01 |
| CA | PHA215150 | 05 |
| Other Name | Type Code |
|---|---|
| DeMartini's Compounding Center | Doing Business As Name - Organization |
| Street Address |
102 CATHERINE LN |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356433387 | David Alan Demartini | Pharmacist | 102 Catherine Ln, Grass Valley, CA 95945-5701 | 2006-09-28 |
| 1134403363 | Alan Joslin Demartini | Pharmacist | 102 Catherine Ln, Grass Valley, CA 95945-5701 | 2011-10-06 |
| 1457653008 | Michelle Pusateri Britton | Pharmacist | 102 Catherine Ln, Grass Valley, CA 95945-5701 | 2010-12-01 |
| 1023165156 | Sherri Lynn Reynolds | Pharmacy Technician | 102 Catherine Ln, Grass Valley, CA 95945-5701 | 2007-01-04 |
| 1851476774 | Carol Yvonne Sharps | Pharmacy Technician | 102 Catherine Ln, Grass Valley, CA 95945-5701 | 2006-10-26 |
| 1104915743 | Valerie Christina Sherman IIi | Pharmacy Technician | 102 Catherine Ln, Grass Valley, CA 95945-5701 | 2006-10-12 |
| 1437247913 | Lisa Marie Mueller | Pharmacy Technician | 102 Catherine Ln, Grass Valley, CA 95945-5701 | 2006-10-10 |
| 1821182783 | Julie Anne Lay | Pharmacist | 102 Catherine Ln, Grass Valley, CA 95945-5701 | 2006-10-03 |
| 1982796926 | Leslie J Honey | Pharmacist | 102 Catherine Ln, Grass Valley, CA 95945-5701 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952445033 | Save Mart Supermarkets | Pharmacy | 12054 Nevada City Hwy, Grass Valley, CA 95945-8461 | 2007-02-20 |
| 1568567949 | Raleys | Pharmacy | 692 Freeman Lane, Grass Valley, CA 95949-9616 | 2006-09-13 |
| 1063894756 | Clinic Pharmacies IIi Inc | Pharmacy | 844 Old Tunnel Rd, Grass Valley, CA 95945-8524 | 2015-06-18 |
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| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.