Mendocino Pharmacy Holdings Inc.
Community/Retail Pharmacy
350 Cypress St, Fort Bragg
California, 95437-5408
707-962-0800 707-962-3011
Mendocino Pharmacy Holdings Inc. is an authorized DME supplier for medicare equipments and products.
Mendocino Pharmacy Holdings Inc. is a Community/Retail Pharmacy in Fort Bragg, California. It is located at 350 Cypress St, Fort Bragg and it's customer support contact number is 707-962-0800. The authorized person of Mendocino Pharmacy Holdings Inc. is Kelly E Brodetsky, PHARMD who is Director/pharmacist In Charge of the pharmacy and his contact number is 707-734-0091. Mendocino Pharmacy Holdings Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mendocino Pharmacy Holdings Inc. 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.
Pharmacy Details:
Mendocino Pharmacy Holdings Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Mendocino Pharmacy Holdings Inc. |
| Type: | Community/Retail Pharmacy |
| Location: | 350 Cypress St, Fort Bragg, California, 95437-5408 |
| Phone: | 707-962-0800 |
| Fax: | 707-962-3011 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kelly E Brodetsky |
| Credentials: | PHARMD |
| Position: | Director/pharmacist In Charge |
| Contact Number: | 707-734-0091 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1619216173 |
| NPI Enumeration Date: | 04 Feb, 2013 |
| NPI Last Update On: | 23 Jul, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mendocino Pharmacy Holdings Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 5646469 | Other | | Ncpdp Provider Identification Number |
Medicare Enrollment:
Mendocino Pharmacy Holdings Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2769660604 | O20140108000895 | Kelly Brodetsky | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 904, Mendocino, California |
| Zip: | 95460-0904 |
| Phone Number: | 707-962-0800 |
| Fax Number: | 707-962-3011 |
Patients can reach Mendocino Pharmacy Holdings Inc. at
350 Cypress St, Fort Bragg, California or can
call on customer care at 707-962-0800.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.