MERCURY PHARMACY CORPORATION (NPI# 1912323155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912323155 |
| Entity Type | Organization |
| Organization Name | MERCURY PHARMACY CORPORATION |
| Other Organization Name | RATCHET CAPITAL INC. |
| Practice Address |
480 Redwood St Suite#33 Vallejo CA 94590-2958 |
| Practice Telephone | 7072004411 |
| Practice Fax Number | 7076525906 |
| Mailing Telephone | 7072004411 |
| Mailing Fax Number | 7076525906 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | RICARDO ANGEL DUENAS (CEO) |
| Authorized Official Telephone | 7072004411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
51790 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1912323155 | 05 |
| Other Name | Type Code |
|---|---|
| Mercury Pharmacy | Doing Business As Name - Organization |
| RATCHET CAPITAL INC. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083274567 | Mercury Pharmacy Corporation | Pharmacy | 361 E Leland Rd, Pittsburg, CA 94565-4911 | 2019-06-18 |
| 1093336083 | Mercury Pharmacy Corporation | Pharmacy | 2300 Macdonald Ave, Richmond, CA 94804-1878 | 2020-04-30 |
| 1295279677 | Mercury Pharmacy Corporation | Pharmacy | 480 Chadbourne Rd, Suite 101, Fairfield, CA 94534-9647 | 2016-12-05 |
| Street Address |
480 REDWOOD ST SUITE#33 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-2958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730167370 | Paul David Weiner | Podiatrist | 480 Redwood St, Suite 10, Vallejo, CA 94590-2958 | 2006-01-04 |
| 1801258330 | Dental Office of Mounir N. Guirguis Dds, Inc. | Dentist | 480 Redwood St, Suite #13, Vallejo, CA 94590-2958 | 2016-03-23 |
| 1790100519 | Teri Bilhartz Medical Corporation | Preventive Medicine | 480 Redwood St, Suite 14, Vallejo, CA 94590-2958 | 2014-03-03 |
| 1578873592 | Jackson Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 480 Redwood St, # 44, Vallejo, CA 94590-2958 | 2010-10-08 |
| 1609187392 | Ryan Christian Thomas | Podiatrist | 480 Redwood St, Suite 10, Vallejo, CA 94590-2958 | 2010-06-28 |
| 1063737609 | Setty Dds Inc. | Dentist | 480 Redwood St, Suite 13, Vallejo, CA 94590-2958 | 2010-04-06 |
| 1326372608 | Ricardo Angel Duenas | Pharmacist | 480 Redwood St, Suite#33, Vallejo, CA 94590-2958 | 2009-09-19 |
| 1730350422 | Paul David Weiner | Podiatrist | 480 Redwood St, Suite 10, Vallejo, CA 94590-2958 | 2008-03-20 |
| 1386825750 | Laurence J. Mazzotta Md PC | Internal Medicine | 480 Redwood St, Suite 14, Vallejo, CA 94590-2958 | 2007-11-14 |
| 1023182425 | Denise L. Martin-sahim | Specialist | 480 Redwood St, Suite 14, Vallejo, CA 94590-2958 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| 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 |
|---|---|---|---|---|
| 1154364982 | Longs Drug Stores California LLC | Pharmacy | 1193 Admiral Callaghan Ln, Vallejo, CA 94591-3701 | 2006-06-13 |
| 1821224510 | North Bay Custom Care Pharmacy Inc | Pharmacy | 1460 N Camino Alto, Suite 101, Vallejo, CA 94589-2567 | 2009-06-08 |
| 1538217328 | Kaiser Foundation Health Plan Inc | Pharmacy | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-01-08 |
| 1851448179 | Kaiser Foundation Health Plan Inc | Pharmacy | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 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 | ||||
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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.