OrganizationActive
Shasta Lake Drug Store Inc
NPI 1568803260 · Community/Retail Pharmacy · Shasta Lake, CA
Shasta Lake Drug Store Inc is a Community/Retail Pharmacy organization in Shasta Lake, CA (NPI 1568803260).
Provider details
- NPI number
- 1568803260
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jodi Walsh, Officer/Secretary(530) 339-1445
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
4222 Shasta Dam Blvd
Shasta Lake, CA 96019-9422
Phone: (530) 275-2700
Fax: (530) 275-2800
Street-level locationGet directions
Mailing address
Po Box 991179
Redding, CA 96099-1179
Other names (DBA / former)
- Doing business as
- Shasta Lake Drug Store
Registry dates
- Enumerated
- 2013-07-10
- Last updated
- 2013-08-01
Frequently asked questions
- What is Shasta Lake Drug Store Inc's NPI number?
- Shasta Lake Drug Store Inc's National Provider Identifier (NPI) is 1568803260, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shasta Lake Drug Store Inc?
- Shasta Lake Drug Store Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Shasta Lake Drug Store Inc located?
- Shasta Lake Drug Store Inc's practice location on file with NPPES is 4222 Shasta Dam Blvd, Shasta Lake, CA 96019-9422.
- What is Shasta Lake Drug Store Inc's phone number?
- The practice phone number listed in the NPPES registry for Shasta Lake Drug Store Inc is (530) 275-2700.
- Who is the authorized official for Shasta Lake Drug Store Inc?
- The authorized official listed on Shasta Lake Drug Store Inc's NPPES record is Jodi Walsh, Officer/Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shasta Lake Drug Store Inc's NPI active?
- Yes — Shasta Lake Drug Store Inc's NPI (1568803260) is active in the NPPES registry as of the last update on 2013-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.