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Mount Shasta Pharmacy, Inc.

Community/Retail Pharmacy in Mount Shasta, CA · enumerated 2021 · authorized official Tony Ibrahim, Ceo/Cfo/Director.

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

National Provider Identifier

1295494904

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Registry record

Entity type Organization (Type 2)
Legal business name Mount Shasta Pharmacy, Inc.
Practice address 148 Morgan Way, Mount Shasta, CA, 96067
Phone (530) 567-0270
Enumeration date Dec 9, 2021
Last updated in NPPES Dec 9, 2021

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Tony Ibrahim
Title Ceo/Cfo/Director
Phone (760) 987-6796

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Mount Shasta Pharmacy, Inc.?
Mount Shasta Pharmacy, Inc. is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-09.