OrganizationActive
Mactor, Inc.
NPI 1740214790 · Community/Retail Pharmacy · San Diego, CA
Mactor, Inc. is a Community/Retail Pharmacy organization in San Diego, CA (NPI 1740214790).
Provider details
- NPI number
- 1740214790
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mitesh Patel, Ceo(619) 466-3246
- License
- 56091 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4428 Glacier Ave
San Diego, CA 92120-3304
Phone: (619) 466-3246
Fax: (619) 466-4134
Street-level locationGet directions
Mailing address
11676 Treadwell Dr
Poway, CA 92064
Other names (DBA / former)
- Doing business as
- Provision Pharmacy
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2020-03-04
- Certified
- 2020-03-04
Frequently asked questions
- What is Mactor, Inc.'s NPI number?
- Mactor, Inc.'s National Provider Identifier (NPI) is 1740214790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mactor, Inc.?
- Mactor, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Mactor, Inc. located?
- Mactor, Inc.'s practice location on file with NPPES is 4428 Glacier Ave, San Diego, CA 92120-3304.
- What is Mactor, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mactor, Inc. is (619) 466-3246.
- Who is the authorized official for Mactor, Inc.?
- The authorized official listed on Mactor, Inc.'s NPPES record is Mitesh Patel, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mactor, Inc.'s NPI active?
- Yes — Mactor, Inc.'s NPI (1740214790) is active in the NPPES registry as of the last update on 2020-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.