ST. MARY HEALTH VENTURES INC. NPI 1710002860

NPI Information

  • NPI: 1710002860
  • Provider Name: ST. MARY HEALTH VENTURES, INC.
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: MEDICAL MALL PHARMACY
  • Address: 1043 ELM AVE
    SUITE 305
    LONG BEACH, CA
    ZIP 90813
  • Phone: (562) 491-9001

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NPI Details

ST. MARY HEALTH VENTURES, INC. is a community/retail pharmacy pharmacy in Long Beach, CA. The provider is 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. ST. MARY HEALTH VENTURES, INC. NPI is 1710002860. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Mall Pharmacy.

The provider's business location address is:

1043 ELM AVE
SUITE 305
LONG BEACH, CA
ZIP 90813-271
Phone: (562) 491-9001
Fax: (562) 495-9651

The provider's authorized official is Harold Way .
The authorized official title is Chief Financial Officer and has the following contact phone number (562) 491-9929.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 9/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy50612CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10582014OTHERNCPDP
2PHA41010AMEDICAIDCALIFORNIA
35540730001MEDICARE PINCALIFORNIA
4=========OTHERCALIFORNIAIRS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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