MINIMS APOTHECARY LLC DBA BANETH'S PHARMACY NPI 1497859441

NPI Information

  • NPI: 1497859441
  • Provider Name: MINIMS APOTHECARY LLC, DBA BANETH'S PHARMACY
  • Classification: Pharmacy - 3336C0004X
  • Specialization: Compounding Pharmacy
  • Entity Type: Organization
  • Address: 900 WILLOW RD
    MENLO PARK, CA
    ZIP 94025
  • Phone: (650) 326-8400

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NPI Details

MINIMS APOTHECARY LLC, DBA BANETH'S PHARMACY is a compounding pharmacy pharmacy in Menlo Park, CA. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. MINIMS APOTHECARY LLC, DBA BANETH'S PHARMACY NPI is 1497859441. The provider is registered as an organization entity type.

The provider's business location address is:

900 WILLOW RD
MENLO PARK, CA
ZIP 94025-544
Phone: (650) 326-8400
Fax: (650) 323-2609

The provider's authorized official is Sageda Mahmoud-thirucote .
The authorized official title is Pharmacist - In - Charge and has the following contact phone number (650) 326-8400.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 3/24/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyPHY46536CALIFORNIANo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336C0004XPharmacyCompounding PharmacyPHY48368CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15986940001MEDICARE NSC
2PHA465360MEDICAIDCALIFORNIA
30523123OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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