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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MENDOCINO PHARMACY HOLDINGS INC.
NPI 1619216173
Pharmacy - Community/Retail Pharmacy in Fort Bragg, CA

Active since February 04, 2013
350 CYPRESS ST, FORT BRAGG, CA 95437(707) 962-0800(707) 962-3011 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2020, Jul 2, 2020 (2 updates tracked since 2020).

About Mendocino Pharmacy Holdings Inc. NPPES

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

MENDOCINO PHARMACY HOLDINGS INC. (NPI 1619216173), doing business as Mendocino Coast Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Fort Bragg, California and active in the NPI registry since February 2013. The organization lists Kelly E Brodetsky, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1619216173
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMENDOCINO PHARMACY HOLDINGS INC.
Location Address350 CYPRESS STFort Bragg, CA 95437-5408
Mailing AddressPo Box 904Mendocino, CA 95460-0904 · (707) 962-0800 · Fax (707) 962-3011
Phone(707) 962-0800
Fax(707) 962-3011
Organization SubpartNo
Authorized OfficialKelly E BrodetskyPresident/ceo · (707) 734-0091
Enumeration DateFebruary 4, 2013
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1619216173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
350 CYPRESS ST, Fort Bragg, CA 95437
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Other Names 1

Doing Business AsMendocino Coast Pharmacy

Other Identifiers 1

Other5646469Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
261 services258 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
241 services241 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
48 services48 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
47 services47 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
16 services16 patients

Other Providers at the Same Location NPPES

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

MENDOCINO COAST CLINICS, INC.
Pharmacy (Community/Retail Pharmacy)
350 CYPRESS ST
FORT BRAGG, CA 95437
Mendocino County (707) 964-1251

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 Mendocino Pharmacy Holdings Inc.'s NPI number?

The NPI number for Mendocino Pharmacy Holdings Inc. is 1619216173. It was assigned to this organization in the NPPES registry on February 4, 2013. The provider is doing business as Mendocino Coast Pharmacy.

Where is Mendocino Pharmacy Holdings Inc. located?

Mendocino Pharmacy Holdings Inc. is located at 350 Cypress St, Fort Bragg, CA 95437. The listed phone number is (707) 962-0800.

What is Mendocino Pharmacy Holdings Inc.'s specialty?

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

What insurance does Mendocino Pharmacy Holdings 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 47 other insurers list Mendocino Pharmacy Holdings 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 Mendocino Pharmacy Holdings Inc. was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.