Ceres Drug Store, Inc.
Ceres Drug Store, Inc. is a healthcare organization registered as Community/Retail Pharmacy in Ceres, CA, holding Type 2 (organization) NPI 1003821638 since 2006. The authorized official on file is Derek Smernes, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003821638 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ceres Drug Store, Inc. |
| Other name | <Unavail> |
| Practice address | 2929 4TH ST, Ceres, CA, 95307 |
| Phone | 2095370718 |
| Fax | 2095374252 |
| Enumeration date | 2006-07-30 |
| Last updated in NPPES | 2019-09-18 |
Authorized official
| Name | Derek Smernes |
|---|---|
| Title | Ceo |
| Phone | 2095370718 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | PHY30773 | CA |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA307730 | Medicaid | CA | — |
| PHY30773 | Medicaid | CA | — |
| PHY57145 | Medicaid | CA | — |
| 2034704 | Other | — | PK |
Copy-ready billing details
Provider: Ceres Drug Store, Inc. NPI: 1003821638 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2929 4TH ST, Ceres, CA, 95307
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1629532213 | Derek Smernes | Individual | Pharmacist | Ceres, CA |
| 1497219091 | Justin Smernes | Individual | Pharmacist | Ceres, CA |
Verify this record
Cross-check NPI 1003821638 against the authoritative CMS record: view Ceres Drug Store, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Ceres Drug Store, Inc. located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-09-18.