| NPI | 1124560941 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2016-11-10 |
| Last Updated | 2022-03-21 |
| Authorized Official | Kristina Johnson President Phone: 6197226442 |
| Mailing Address | 1730 Alpine Blvd Ste 109 Alpine, CA 91901-3877 United States Phone: (619) 722-6442 | Fax: (619) 722-6443 📍 View Map |
| Primary Practice Address | 1730 Alpine Blvd Ste 109 Alpine, CA 91901-3877 United States Phone: (619) 722-6442 | Fax: (619) 722-6443 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | 1124560941 | — |
| Other (non-Medicare) | — | 2166108 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 3336L0003X – Pharmacy, Long Term Care Pharmacy | CA | PHY51950 |
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About NPI 1124560941
Dmmjr Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1124560941. The primary specialty listed is Pharmacy, Long Term Care Pharmacy. The organization is located in Alpine, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-11-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124560941?
NPI 1124560941 belongs to Dmmjr Inc, a Pharmacy, Long Term Care Pharmacy in Alpine, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124560941 active?
The current status of NPI 1124560941 in the NPPES registry is Active. The record was last updated on 2022-03-21.
What specialty is NPI 1124560941?
NPI 1124560941 is classified under the taxonomy Pharmacy, Long Term Care Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124560941?
You can verify NPI 1124560941 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124560941?
The primary practice address on file for NPI 1124560941 is 1730 Alpine Blvd Ste 109, Alpine, CA 91901-3877. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124560941 issued?
NPI 1124560941 was first issued (enumerated) on 2016-11-10. The NPPES record was last updated on 2022-03-21.
Practice Location Map
Dmmjr Inc is located at 1730 Alpine Blvd Ste 109, Alpine, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Dmmjr Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1124560941. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Long Term Care Pharmacy | PHY51950 | CA |