KELLY'S DRUG STORE
NPI 1891876918
Pharmacy in San Andreas, CA

Active since October 17, 2006
64 E. SAINT CHARLES ST, SAN ANDREAS, CA 95249(209) 754-3595(209) 754-5387 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly's Drug Store NPPES

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

KELLY'S DRUG STORE (NPI 1891876918) is a healthcare organization registered as a pharmacy in San Andreas, California and active in the NPI registry since October 2006. The organization lists Raymond L Guidi, President, as its authorized official.

NPPES Registry Identity

NPI1891876918
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMOTHER LODE PHARMACIES, INC.
Location Address64 E. SAINT CHARLES STSan Andreas, CA 95249-0009
Mailing AddressPo Box 606San Andreas, CA 95249-0606 · (209) 754-3595 · Fax (209) 754-5387
Fax(209) 754-5387
Organization SubpartNo
Authorized OfficialRaymond L GuidiPresident · (209) 754-3595
Enumeration DateOctober 17, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1891876918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in CA · 417030
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

64 E. SAINT CHARLES ST, San Andreas, CA 95249

Other Names 1

Doing Business AsKelly's Drug Store

Other Identifiers 1

MedicaidPHA417030CA

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 Mother Lode Pharmacies, Inc.'s NPI number?

The NPI number for Mother Lode Pharmacies, Inc. is 1891876918. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Kelly's Drug Store.

Where is Mother Lode Pharmacies, Inc. located?

Mother Lode Pharmacies, Inc. is located at 64 E. Saint Charles St, San Andreas, CA 95249. The listed phone number is (209) 754-3595.

What is Mother Lode Pharmacies, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Mother Lode Pharmacies, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.