Mount Shasta Pharmacy, Inc.

Mount Shasta Pharmacy, Inc. is a healthcare organization registered as Long Term Care Pharmacy in Mount Shasta, CA, holding Type 2 (organization) NPI 1194506113 since 2023. The authorized official on file is Tony Ibrahim, Ceo.

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NPI	1194506113
Entity type	Organization (Type 2)
Legal business name	Mount Shasta Pharmacy, Inc.
Practice address	148 MORGAN WAY, Mount Shasta, CA, 96067
Phone	5305680270
Fax	5305680271
Enumeration date	2023-10-06
Last updated in NPPES	2023-10-06

Authorized official

Name	Tony Ibrahim
Title	Ceo
Phone	7609876796

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
3336L0003X	Long Term Care Pharmacy	Primary	—	—

Copy-ready billing details

Provider: Mount Shasta Pharmacy, Inc.
NPI: 1194506113
Taxonomy: 3336L0003X (Long Term Care Pharmacy)
Address: 148 MORGAN WAY, Mount Shasta, CA, 96067

Providers at this address

NPI	Name	Type	Specialty	Location
1295494904	Mount Shasta Pharmacy, Inc.	Organization	Community/Retail Pharmacy	Mount Shasta, CA
1356286306	Michael Ariagno	Individual	Pharmacist	Mount Shasta, CA

Verify this record

Cross-check NPI 1194506113 against the authoritative CMS record: view Mount Shasta Pharmacy, 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-10-06. Verify at npiregistry.cms.hhs.gov.

Where is Mount Shasta Pharmacy, Inc. located?

The practice location on file with NPPES is in Mount Shasta, CA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-10-06.