1. Home
  2. Directory
  3. California
  4. Long Beach
  5. Pharmacy
  6. NPI Profile

MEDICAL MALL PHARMACY
NPI 1710002860
Pharmacy - Community/Retail Pharmacy in Long Beach, CA

Active since March 20, 2007
1043 ELM AVE, SUITE 305, LONG BEACH, CA 90813(562) 491-9001(562) 495-9651 Get Directions Write a Review

NPPES record last updated: September 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medical Mall Pharmacy NPPES

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

MEDICAL MALL PHARMACY (NPI 1710002860) is a healthcare organization registered as a community/retail pharmacy in Long Beach, California and active in the NPI registry since March 2007. The organization lists Harold Way, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1710002860
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameST. MARY HEALTH VENTURES, INC.
Location Address1043 ELM AVE, SUITE 305Long Beach, CA 90813-3271
Mailing Address1043 Elm Ave, Suite 305Long Beach, CA 90813-3271 · (562) 491-9003 · Fax (562) 495-9651
Phone(562) 491-9001
Fax(562) 495-9651
Organization SubpartYes
Authorized OfficialHarold WayChief Financial Officer · (562) 491-9929
Enumeration DateMarch 20, 2007
Last NPPES UpdateSeptember 23, 2013
✔ NPI 1710002860 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 · 50612
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.
1043 ELM AVE, Long Beach, CA 90813
Open in Google Maps ↗

Other Names 1

Doing Business AsMedical Mall Pharmacy

Other Identifiers 3

Other0582014Ncpdp
MedicaidPHA41010ACA
Medicare PIN5540730001CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 16

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

DR. THOMAS CHARLES GATES MD
Radiology (Radiation Oncology)
1043 ELM AVE
LONG BEACH, CA 90813
Los Angeles County (951) 691-5123
STEFAN SCHNEIDER MD
Internal Medicine (Infectious Disease)
1043 ELM AVE, SUITE 300
LONG BEACH, CA 90813
Los Angeles County (562) 624-4999
DR. SASSAN FARJAMI M.D.
Internal Medicine (Hematology & Oncology)
1043 ELM AVE, STE 104
LONG BEACH, CA 90813
Los Angeles County (562) 590-0345
DR. FRANCISCA MATA MD
Family Medicine
1043 ELM AVE
LONG BEACH, CA 90813
Los Angeles County (562) 432-5122
ST. MARYS RADIATION ONCOLOGY MEDICAL GROUP
Clinic/Center (Oncology, Radiation)
1043 ELM AVE, SUITE 110
LONG BEACH, CA 90813
Los Angeles County (909) 263-0321
CITY OF HOPE MEDICAL FOUNDATION
Internal Medicine (Hematology & Oncology)
1043 ELM AVE, STE 104
LONG BEACH, CA 90813
Los Angeles County (562) 590-0345
JEROME DE VENTE MD
Internal Medicine (Infectious Disease)
1043 ELM AVE, SUITE 300
LONG BEACH, CA 90813
Los Angeles County (562) 624-4999
SUSAN SUZUKI WELLBORN NURSE PRACTITIONER
Nurse Practitioner (Family)
1043 ELM AVE, SUITE 300
LONG BEACH, CA 90813
Los Angeles County (562) 624-4908

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 St. Mary Health Ventures, Inc.'s NPI number?

The NPI number for St. Mary Health Ventures, Inc. is 1710002860. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as Medical Mall Pharmacy.

Where is St. Mary Health Ventures, Inc. located?

St. Mary Health Ventures, Inc. is located at 1043 Elm Ave Suite 305, Long Beach, CA 90813. The listed phone number is (562) 491-9001.

What is St. Mary Health Ventures, Inc.'s specialty?

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

What insurance does St. Mary Health Ventures, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 34 other insurers list St. Mary Health Ventures, 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 St. Mary Health Ventures, Inc. was last updated on September 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.