MISSION WELLNESS HEALTHCARE LLC (NPI# 1215473939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215473939 |
| Entity Type | Organization |
| Organization Name | MISSION WELLNESS HEALTHCARE LLC |
| Practice Address |
350 Parnassus Ave Ste 505 San Francisco CA 94117-3628 |
| Mailing Address |
Po 7775 #52191 San Francisco CA 94120 |
| Practice Telephone | 4159266270 |
| Practice Fax Number | 4158267077 |
| Mailing Telephone | 4155774743 |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2018-05-14 |
| Authorized Official Name | DANIEL ANDRZEJEK (CEO) |
| Authorized Official Telephone | 4155774743 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 55442 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2167370 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809219 | Mission Wellness Healthcare LLC | Pharmacy | 2424 Mission St, San Francisco, CA 94110-2415 | 2020-04-14 |
| 1518394857 | Mission Wellness Healthcare LLC | Pharmacy | 2424 Mission St, San Francisco, CA 94110-2415 | 2013-10-01 |
| Street Address |
350 PARNASSUS AVE STE 505 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1124578901 | Michelle Elizabeth Cohen | Nurse Practitioner | 350 Parnassus Ave Ste 908, San Francisco, CA 94117 | 2016-10-05 |
| 1235686346 | Amy Burtelow | Massage Therapist | 425 Divisadero Street Suite 300, San Francisco, CA 94117 | 2016-09-07 |
| 1851790430 | Elissa Stevens | Counselor | 1757 Waller Street, San Francisco, CA 94117 | 2014-08-19 |
| 1831508043 | Colmed Laboratories & Radiology | Clinical Medical Laboratory | 560 Haight Street #104, San Francisco, CA 94117 | 2014-08-13 |
| 1972917847 | Radha Yerneni | Internal Medicine | 450 Stanyan St Fl 6, San Francisco, CA 94117 | 2014-06-18 |
| 1811333594 | Julia Wong | Counselor | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2013-05-21 |
| 1740623529 | Cody Elizabeth Berry | Social Worker | 425 Divisadero, Suite 300, San Francisco, CA 94117 | 2013-04-11 |
| 1235471848 | Steven Ryan Vidrine | Psychiatry & Neurology | 350 Parnassus Ave Ste 201, San Francisco, CA 94117 | 2013-03-21 |
| 1699043810 | Podiatry Plan Inc | Podiatrist | 1353b Haight Street, San Francisco, CA 94117 | 2011-12-02 |
| Find all providers in zip 94117 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013361096 | Carezone Foundation | Pharmacy | 3175 17th St, San Francisco, CA 94110-1332 | 2016-04-16 |
| 1982064549 | North East Medical Services | Pharmacy | 1019 Clement St, San Francisco, CA 94118-2112 | 2016-02-25 |
| 1942630793 | Aids Healthcare Foundation | Pharmacy | 100 N. Church St., San Francisco, CA 94114-1111 | 2013-11-14 |
| 1992982540 | Clement Pharmacy | Pharmacy | 1922 Clement St, San Francisco, CA 94121-2217 | 2008-01-25 |
| 1730231895 | Tony G Bastian Pharmacy Inc. | Pharmacy | 5199 Geary Blvd, San Francisco, CA 94118-2815 | 2007-01-17 |
| 1225187693 | Lc Mission LLC | Pharmacy | 2462 Mission St, San Francisco, CA 94110-2415 | 2007-01-08 |
| 1023174398 | Franklin Pharmacy Prof Corp | Pharmacy | 1508 Franklin St, San Francisco, CA 94109-4523 | 2006-12-29 |
| 1194885418 | Daniels Pharmacy | Pharmacy | 943 Geneva Ave, San Francisco, CA 94112-3402 | 2006-12-08 |
| 1588743611 | Reliable Rexall Sunset Pharmacy Inc | Pharmacy | 801 Irving St, San Francisco, CA 94122-2310 | 2006-11-02 |
| 1568547859 | Fishbeyn Holdings Inc | Pharmacy | 2299 Post St Ste 109, Suite 109, San Francisco, CA 94115-3443 | 2006-10-26 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94117 |
Please comment or provide details below to improve the information on MISSION WELLNESS HEALTHCARE LLC.
| 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.