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Ceres Drug Store, Inc.

Community/Retail Pharmacy in Ceres, CA · enumerated 2006 · authorized official Derek Smernes, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003821638

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Registry record

Entity type Organization (Type 2)
Legal business name Ceres Drug Store, Inc.
Other name <Unavail>
Practice address 2929 4th St, Ceres, CA, 95307
Fax (209) 537-4252
Enumeration date Jul 30, 2006
Last updated in NPPES Sep 18, 2019

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PHY30773 (CA) Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Derek Smernes
Title Ceo

Other identifiers

Identifier Type State Issuer
PHA307730 Medicaid CA -
PHY30773 Medicaid CA -
PHY57145 Medicaid CA -
2034704 Other - PK

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.

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Frequently asked questions

Where is Ceres Drug Store, Inc. located?
The practice location on file with NPPES is in Ceres, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-09-18. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-09-18.