OrganizationActive
Paqinc
NPI 1073818258 · Community/Retail Pharmacy · Stockton, CA
Paqinc is a Community/Retail Pharmacy organization in Stockton, CA (NPI 1073818258).
Provider details
- NPI number
- 1073818258
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Wade Fullmer, Pharmacist/Pic(209) 939-0376
- License
- 30915 (CA)
Specialties & taxonomies
Suppliers
Pharmacy Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1409 S Airport Way
Stockton, CA 95206-2319
Phone: (209) 939-9790
Street-level locationGet directions
Mailing address
1409 S Airport Way
Stockton, CA 95206-2319
Other names (DBA / former)
- Doing business as
- Rancho San Miguel Pharmacy #21
Registry dates
- Enumerated
- 2011-01-19
- Last updated
- 2011-05-13
Frequently asked questions
- What is Paqinc's NPI number?
- Paqinc's National Provider Identifier (NPI) is 1073818258, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Paqinc?
- Paqinc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Paqinc located?
- Paqinc's practice location on file with NPPES is 1409 S Airport Way, Stockton, CA 95206-2319.
- What is Paqinc's phone number?
- The practice phone number listed in the NPPES registry for Paqinc is (209) 939-9790.
- Who is the authorized official for Paqinc?
- The authorized official listed on Paqinc's NPPES record is Wade Fullmer, Pharmacist/Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Paqinc's NPI active?
- Yes — Paqinc's NPI (1073818258) is active in the NPPES registry as of the last update on 2011-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.