MTT PHARMACY INC NPI 1962514117

NPI Information

  • NPI: 1962514117
  • Provider Name: MTT PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: VILLAGE PHARMACY
  • Address: 414 MAIN ST
    WHEATLAND, CA
    ZIP 95692
  • Phone: (530) 633-2819

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NPI Details

MTT PHARMACY INC is a community/retail pharmacy pharmacy in Wheatland, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MTT PHARMACY INC NPI is 1962514117. The provider is registered as an organization entity type.
The provider Is Doing Business As Village Pharmacy.

The provider's business location address is:

414 MAIN ST
WHEATLAND, CA
ZIP 95692-422
Phone: (530) 633-2819
Fax: (530) 633-0159

The provider's authorized official is Thao P. Nguyen .
The authorized official title is Secretary/pharmacist In Charge and has the following contact phone number (530) 633-2819.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 5/9/2019.

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
1332B00000XDurable Medical Equipment & Medical SuppliesPHY37030CALIFORNIANo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPHY37030CALIFORNIAYes

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
1PHA370300MEDICAIDCALIFORNIA
20550031OTHEROTHER ID 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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