OrganizationActive
Pharmacy Mart Inc
NPI 1669252813 · Long Term Care Pharmacy · Phelan, CA
Pharmacy Mart Inc is a Long Term Care Pharmacy organization in Phelan, CA (NPI 1669252813).
Provider details
- NPI number
- 1669252813
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tony Ibrahim, Owner(760) 987-6796
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
4050 Phelan Rd Ste 8
Phelan, CA 92371-4454
Phone: (760) 868-2800
Fax: (760) 868-5252
Street-level locationGet directions
Mailing address
4050 Phelan Rd Ste 8
Phelan, CA 92371-4454
Other names (DBA / former)
- Doing business as
- The Medicine Shoppe
Registry dates
- Enumerated
- 2023-10-04
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Frequently asked questions
- What is Pharmacy Mart Inc's NPI number?
- Pharmacy Mart Inc's National Provider Identifier (NPI) is 1669252813, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pharmacy Mart Inc?
- Pharmacy Mart Inc is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Pharmacy Mart Inc located?
- Pharmacy Mart Inc's practice location on file with NPPES is 4050 Phelan Rd Ste 8, Phelan, CA 92371-4454.
- What is Pharmacy Mart Inc's phone number?
- The practice phone number listed in the NPPES registry for Pharmacy Mart Inc is (760) 868-2800.
- Who is the authorized official for Pharmacy Mart Inc?
- The authorized official listed on Pharmacy Mart Inc's NPPES record is Tony Ibrahim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pharmacy Mart Inc's NPI active?
- Yes — Pharmacy Mart Inc's NPI (1669252813) is active in the NPPES registry as of the last update on 2023-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.