Organization
CERES DRUG STORE, INC.
Active
Other names
CERES DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK SMERNES PHARM.D. (CEO)
(209) 537-0718
Entity
Organization
Contact information
Practice address
2929 4TH ST, CERES, CA 95307-3222
(209) 537-0718
(209) 537-4252
Mailing address
2929 4TH ST, CERES, CA 95307-3222
(209) 537-0718
(209) 537-4252
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PHY30773
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2034704
PK
—
05
—
PHA307730
—
CA
05
—
PHY30773
—
CA
05
—
PHY57145
—
CA
Enumeration date
07/30/2006
Last updated
09/18/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us