POKERVILLE DRUG
NPI 1013928605
Pharmacy - Community/Retail Pharmacy in Plymouth, CA

Active since August 10, 2006
18170 HWY 49, SUITE A, PLYMOUTH, CA 95669(209) 245-3784(209) 245-4146 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pokerville Drug NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POKERVILLE DRUG (NPI 1013928605) is a healthcare organization registered as a community/retail pharmacy in Plymouth, California and active in the NPI registry since August 2006. The organization lists Paul Wesseler, Owner, as its authorized official.

NPPES Registry Identity

NPI1013928605
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePOKERVILLE DRUG
Location Address18170 HWY 49, SUITE APlymouth, CA 95669
Mailing Address18170 Hwy 49, Suite APlymouth, CA 95669
Fax(209) 245-4146
Organization SubpartNo
Authorized OfficialPaul WesselerOwner · (209) 245-3784
Enumeration DateAugust 10, 2006
Last NPPES UpdateFebruary 19, 2008
NPI 1013928605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in CA · PHY39679
Definition

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.

18170 HWY 49, Plymouth, CA 95669

Other Identifiers 4

MedicaidPHA396790CA
Medicare NSC4013410001
Other0553013Other Id Number-commercial Number
Other0553013Other Id Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pokerville Drug's NPI number?

The NPI number for Pokerville Drug is 1013928605. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Pokerville Drug located?

Pokerville Drug is located at 18170 Hwy 49 Suite A, Plymouth, CA 95669. The listed phone number is (209) 245-3784.

What is Pokerville Drug's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Pokerville Drug was last updated on February 19, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.