Organization
ENDERTS DRUG STORE INC
Active
Organization
ENDERTS DRUG STORE INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
TOM NICHOLS RPH (OWNER PHARMACIST)
(707) 464-3532
Entity
Organization
Contact information
Practice address
783 3RD ST, CRESCENT CITY, CA 95531-4316
(707) 464-4101
(707) 464-7018
Mailing address
783 3RD ST, CRESCENT CITY, CA 95531-4316
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY35933
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0531005
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA359330
—
CA
Enumeration date
10/03/2006
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up