Pharmacy Mart Inc
NPI 1992162077 · Community/Retail Pharmacy · Phelan, CA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pharmacy Mart Inc is a Community/Retail Pharmacy organization in Phelan, CA (NPI 1992162077).
Provider details
- NPI number
- 1992162077
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Rachelle Davis, Pharmacist/Owner(760) 868-2800
Specialties & taxonomies
Suppliers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Pharmacy333600000X
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Other names (DBA / former)
- Doing business as
- The Medicine Shoppe
Registry dates
- Enumerated
- 2016-01-20
- Last updated
- 2024-11-08
- Certified
- 2024-11-08
Frequently asked questions
- What is Pharmacy Mart Inc's NPI number?
- Pharmacy Mart Inc's National Provider Identifier (NPI) is 1992162077, 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 Community/Retail 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.
- Does Pharmacy Mart Inc accept Medicare?
- Pharmacy Mart Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pharmacy Mart Inc?
- The authorized official listed on Pharmacy Mart Inc's NPPES record is Rachelle Davis, Pharmacist/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 (1992162077) is active in the NPPES registry as of the last update on 2024-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.