OrganizationActive
Mount Shasta Pharmacy, Inc.
NPI 1295494904 · Community/Retail Pharmacy · Mount Shasta, CA
Mount Shasta Pharmacy, Inc. is a Community/Retail Pharmacy organization in Mount Shasta, CA (NPI 1295494904).
Provider details
- NPI number
- 1295494904
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tony Ibrahim, Ceo/Cfo/Director(760) 987-6796
Specialties & taxonomies
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
148 Morgan Way
Mount Shasta, CA 96067
Phone: (530) 567-0270
Street-level locationGet directions
Mailing address
148 Morgan Way
Mount Shasta, CA 96067
Registry dates
- Enumerated
- 2021-12-09
- Last updated
- 2021-12-09
- Certified
- 2021-12-03
Frequently asked questions
- What is Mount Shasta Pharmacy, Inc.'s NPI number?
- Mount Shasta Pharmacy, Inc.'s National Provider Identifier (NPI) is 1295494904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mount Shasta Pharmacy, Inc.?
- Mount Shasta Pharmacy, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Mount Shasta Pharmacy, Inc. located?
- Mount Shasta Pharmacy, Inc.'s practice location on file with NPPES is 148 Morgan Way, Mount Shasta, CA 96067.
- What is Mount Shasta Pharmacy, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mount Shasta Pharmacy, Inc. is (530) 567-0270.
- Who is the authorized official for Mount Shasta Pharmacy, Inc.?
- The authorized official listed on Mount Shasta Pharmacy, Inc.'s NPPES record is Tony Ibrahim, Ceo/Cfo/Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mount Shasta Pharmacy, Inc.'s NPI active?
- Yes — Mount Shasta Pharmacy, Inc.'s NPI (1295494904) is active in the NPPES registry as of the last update on 2021-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.