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Pokerville Drug

Community/Retail Pharmacy in Plymouth, CA · enumerated 2006 · authorized official Paul Wesseler, Owner.

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

National Provider Identifier

1013928605

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Registry record

Entity type Organization (Type 2)
Legal business name Pokerville Drug
Practice address 18170 Hwy 49, Suite A, Plymouth, CA, 95669
Fax (209) 245-4146
Enumeration date Aug 10, 2006
Last updated in NPPES Feb 19, 2008

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License PHY39679 (CA) Primary

Authorized official

Name Paul Wesseler
Title Owner

Other identifiers

Identifier Type State Issuer
0553013 Other - OTHER ID NUMBER
0553013 Other - OTHER ID NUMBER-COMMERCIAL NUMBER
PHA396790 Medicaid CA -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-02-19. Verify at npiregistry.cms.hhs.gov.
Where is Pokerville Drug located?
The practice location on file with NPPES is in Plymouth, CA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-19.