Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mount Shasta Pharmacy, Inc

Organization Community/Retail Pharmacy · NPI 1295494904

Mount Shasta Pharmacy, Inc is a Community/Retail Pharmacy in Mount Shasta, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

148 Morgan Way
Mount Shasta, CA 96067
Phone: (530) 567-0270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1295494904
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony Ibrahim — Ceo/Cfo/Director · (760) 987-6796
NPI enumeratedDecember 9, 2021
Last updated in NPPESDecember 9, 2021
Certification dateDecember 3, 2021
Mailing address148 Morgan Way, Mount Shasta, CA 96067

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