ST MARY PHARMACY INC (NPI# 1356839559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356839559 |
| Entity Type | Organization |
| Organization Name | ST MARY PHARMACY INC |
| Other Organization Name | ST MARY PHARMACY |
| Practice Address |
8254 White Oak Ave Unit 4 Northridge CA 91325-4367 |
| Practice Telephone | 8189758004 |
| Practice Fax Number | 8189758094 |
| Mailing Telephone | 8189758004 |
| Mailing Fax Number | 8189758094 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2019-06-14 |
| Authorized Official Name | DR. BESHOY I GERGES (PRESIDENT/PIC) |
| Authorized Official Telephone | 8189758004 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
56096 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF PHARMACY PERMIT | PHY56096 | 01 |
| Other Name | Type Code |
|---|---|
| ST MARY PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700876075 | St Mary Pharmacy Inc | Pharmacy | 9720 4th Ave, Brooklyn, NY 11209-8101 | 2005-10-26 |
| Street Address |
8254 WHITE OAK AVE UNIT 4 |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91325-4367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487019469 | Beshoy Gerges | Pharmacist | 8254 White Oak Ave Unit 4, Northridge, CA 91325 | 2015-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1790342897 | Northridge Kidney Center, LLC | Clinic/Center | 17710 Roscoe Blvd, Northridge, CA 91325 | 2019-05-23 |
| 1063078376 | Ozlem Alper | Student in an Organized Health Care Education/Training Program | 18497 Dearborn St, Unit 112, Northridge, CA 91325 | 2019-05-13 |
| 1144883489 | Better Sober | Clinic/Center | 9339 Louse Ave, Northridge, CA 91325 | 2019-04-22 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| 1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
| 1982151940 | Maria Dakessian | Dentist | 18250 Roscoe Blvd Ste 345, Northridge, CA 91325 | 2016-09-07 |
| 1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
| 1083018873 | Sosann Haider | Pharmacist | 18444 Plummer St., Northridge, CA 91325 | 2014-10-22 |
| 1245650597 | Shahdad Arami | Dentist | 9801 Balboa Bl, Northridge, CA 91325 | 2014-04-24 |
| Find all providers in zip 91325 | ||||
| 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 |
|---|---|---|---|---|
| 1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
| 1265953764 | Med-century Pharmacy Inc | Pharmacy | 8660 Woodley Ave Ste 101, Northridge, CA 91343-5740 | 2017-07-05 |
| 1912202607 | Devonshire Medical Pharmacy | Pharmacy | 17075 Devonshire St Ste 105, Northridge, CA 91325-5406 | 2011-01-11 |
| 1609003276 | Pacific Pharmacy Group | Pharmacy | 19550 Rinaldi Street, Suite 102, Northridge, CA 91326 | 2009-06-22 |
| 1730366584 | Market Pharmacy Inc | Pharmacy | 9250 Reseda Blvd Ste 2c, Northridge, CA 91324-5215 | 2008-01-23 |
| 1730231085 | Aurora Alcantara | Pharmacy | 8619 Reseda Blvd Ste 101a, Northridge, CA 91324-6148 | 2007-01-17 |
| 1700996303 | Costco Wholesale Corporation | Pharmacy | 8810 Tampa Ave, Northridge, CA 91324 | 2006-08-30 |
| 1720022098 | Garfield Beach Cvs LLC | Pharmacy | 8530 Reseda Blvd, Northridge, CA 91324-4628 | 2006-06-16 |
| 1942244298 | Garfield Beach Cvs LLC | Pharmacy | 9038 Balboa Blvd, Northridge, CA 91325-2610 | 2006-06-16 |
| 1245671684 | Med Zone Corp | Pharmacy | 18251 Roscoe Blvd, Suite 103, Northridge, CA 91325-4200 | 2013-07-15 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91325 |
Please comment or provide details below to improve the information on ST MARY PHARMACY INC.
| 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.