Mendocino Pharmacy Holdings Inc.
About this NPIWhat this record shows.
NPI 1619216173 is registered to Mendocino Pharmacy Holdings Inc., a healthcare organisation classified as "Community/Retail Pharmacy" and located at 350 Cypress St in Fort Bragg, California. The organisation's authorised official is Kelly Brodetsky. The organisation has been enumerated in the NPI registry since 2013.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 5646469· Issued by NCPDP PROVIDER IDENTIFICATION NUMBER
Source: NPPES public registry.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part B Supplier
- O20140108000895Mass Immunization (Roster Biller Only)CA
- O20200828002640PharmacyCA
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mendocino Pharmacy Holdings Inc. accepts. To confirm in-network status with your specific health plan, contact Mendocino Pharmacy Holdings Inc. directly at (707) 962-0800.
Frequently asked
Yes. NPI 1619216173 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Community/Retail Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (707) 962-0800.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mendocino Pharmacy Holdings Inc. is a Type-2 organisational NPI.