GREEN'S FORTUNA PHARMACY
NPI 1881806610
Pharmacy - Community/Retail Pharmacy in Fortuna, CA

Q: What is Fortuna Pharmacy Inc's NPI number?

The NPI number for Fortuna Pharmacy Inc is 1881806610. It was assigned to this organization in the NPPES registry on May 4, 2007. The provider is doing business as Green's Fortuna Pharmacy.

Q: What is Fortuna Pharmacy Inc's specialty?

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

Active since May 04, 2007CLIA 05D2316599 · Waiver

1058 MAIN ST, FORTUNA, CA 95540(707) 725-4431(707) 725-2671 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Green's Fortuna Pharmacy NPPES

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

GREEN'S FORTUNA PHARMACY (NPI 1881806610) is a healthcare organization registered as a community/retail pharmacy in Fortuna, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists Robert Earl Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1881806610

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameFORTUNA PHARMACY INC

Location Address1058 MAIN STFortuna, CA 95540-2009

Mailing Address1058 Main StFortuna, CA 95540-2009 · (707) 725-4431 · Fax (707) 725-2671

Phone(707) 725-4431

Fax(707) 725-2671

Organization SubpartNo

Authorized OfficialRobert Earl JohnsonPresident · (707) 725-4431

Enumeration DateMay 4, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1881806610 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 · PHY37268

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.

1058 MAIN ST, Fortuna, CA 95540

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Other Names 1

Doing Business AsGreen's Fortuna Pharmacy

Other Identifiers 1

MedicaidPHA372680CA

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2316599

Fortuna Pharmacy Inc · Fortuna, CA

Active · expires Jan 7, 2027

CLIA Number05D2316599

Laboratory TypePharmacy

Certificate Effective DateJanuary 8, 2025

Certificate Expiration DateJanuary 7, 2027

Laboratory DirectorSusan J. Burgess

Laboratory Phone(707) 725-3040

Laboratory LocationFortuna Pharmacy Inc1058 Main St, Fortuna, CA 95540

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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.

477 services471 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

401 services401 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.

31 services31 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.

31 services31 patients

Influenza vaccine, quadrivalent, 0.5 ml dosage 90688

The Influenza vaccine, quadrivalent, 0.5 ml dosage, is a flu shot to protect against four strains of the flu virus. It's given as a small injection, typically in the arm, to help your body build immunity and fight off potential flu infections.

17 services17 patients

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.

SUSAN BURGESS

Pharmacist

1058 MAIN ST
FORTUNA, CA 95540

Humboldt County (707) 725-3040

ROBERT EARL JOHNSON RPH

Pharmacist

1058 MAIN ST
FORTUNA, CA 95540

Humboldt County (707) 725-4431

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 Fortuna Pharmacy Inc's NPI number?

The NPI number for Fortuna Pharmacy Inc is 1881806610. It was assigned to this organization in the NPPES registry on May 4, 2007. The provider is doing business as Green's Fortuna Pharmacy.

Where is Fortuna Pharmacy Inc located?

Fortuna Pharmacy Inc is located at 1058 Main St, Fortuna, CA 95540. The listed phone number is (707) 725-4431.

What is Fortuna Pharmacy Inc's specialty?

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

Does Fortuna Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2316599) is associated with this NPI, valid through January 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fortuna 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 48 other insurers list Fortuna 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 Fortuna Pharmacy Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.