MOUNT SHASTA PHARMACY, INC.
NPI 1194506113
Pharmacy - Long Term Care Pharmacy in Mount Shasta, CA

Active since October 06, 2023
148 MORGAN WAY, MOUNT SHASTA, CA 96067(530) 568-0270(530) 568-0271 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mount Shasta Pharmacy, Inc. NPPES

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

MOUNT SHASTA PHARMACY, INC. (NPI 1194506113), doing business as Mount Shasta Pharmacy, is a healthcare organization registered as a long term care pharmacy in Mount Shasta, California and active in the NPI registry since October 2023. The organization lists Tony Ibrahim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194506113
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMOUNT SHASTA PHARMACY, INC.
Location Address148 MORGAN WAYMount Shasta, CA 96067
Mailing Address148 Morgan WayMount Shasta, CA 96067 · (530) 568-0270 · Fax (530) 568-0271
Fax(530) 568-0271
Organization SubpartNo
Authorized OfficialTony IbrahimCeo · (760) 987-6796
Enumeration DateOctober 6, 2023
NPPES CertifiedOctober 5, 2023
NPI 1194506113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
148 MORGAN WAY, Mount Shasta, CA 96067

Other Names 1

Doing Business AsMount Shasta Pharmacy

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
148 MORGAN WAY
MOUNT SHASTA, CA 96067
Pharmacist
148 MORGAN WAY
MOUNT SHASTA, CA 96067

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 Mount Shasta Pharmacy, Inc.'s NPI number?

The NPI number for Mount Shasta Pharmacy, Inc. is 1194506113. It was assigned to this organization in the NPPES registry on October 6, 2023. The provider is doing business as Mount Shasta Pharmacy.

Where is Mount Shasta Pharmacy, Inc. located?

Mount Shasta Pharmacy, Inc. is located at 148 Morgan Way, Mount Shasta, CA 96067. The listed phone number is (530) 568-0270.

What is Mount Shasta Pharmacy, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Mount Shasta Pharmacy, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Mount Shasta Pharmacy, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mount Shasta Pharmacy, Inc. was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.