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MERCADOS SUPPLY LLC
NPI 1073222832
Non-Pharmacy Dispensing Site in Fairfield, CA

Active since November 21, 2022
1315 OLIVER RD UNIT D, FAIRFIELD, CA 94534(707) 862-2819 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mercados Supply Llc NPPES

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

MERCADOS SUPPLY LLC (NPI 1073222832) is a healthcare organization registered as a non-pharmacy dispensing site in Fairfield, California and active in the NPI registry since November 2022. The organization lists Eric Fragola, Owner, as its authorized official.

NPPES Registry Identity

NPI1073222832
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMERCADOS SUPPLY LLC
Location Address1315 OLIVER RD UNIT DFairfield, CA 94534-3470
Mailing Address1315 Oliver Rd Unit DFairfield, CA 94534-3470 · (415) 237-3650
Phone(707) 862-2819
Organization SubpartNo
Authorized OfficialEric FragolaOwner · (415) 237-3650
Enumeration DateNovember 21, 2022
NPPES CertifiedNovember 21, 2022
✔ NPI 1073222832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1315 OLIVER RD UNIT D, Fairfield, CA 94534
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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 Mercados Supply LLC's NPI number?

The NPI number for Mercados Supply LLC is 1073222832. It was assigned to this organization in the NPPES registry on November 21, 2022.

Where is Mercados Supply LLC located?

Mercados Supply LLC is located at 1315 Oliver Rd Unit D, Fairfield, CA 94534. The listed phone number is (707) 862-2819.

What is Mercados Supply LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Mercados Supply LLC was last updated on November 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.