St. Mary Medical Group, Llc
Community/Retail Pharmacy
54391 Village Center Dr # 6, Idyllwild
California, 92549-9997
951-659-2135 St. Mary Medical Group, Llc is a Community/Retail Pharmacy in Idyllwild, California. It is located at 54391 Village Center Dr # 6, Idyllwild and it's customer support contact number is 951-659-2135. The authorized person of St. Mary Medical Group, Llc is Mr. James Mario La Ponza, PHARM.D who is Vice President/pharmacist-in-charge of the pharmacy and his contact number is 951-659-2135. Active license number of St. Mary Medical Group, Llc is 56117 for Community/Retail Pharmacy in California.
St. Mary Medical Group, Llc 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:
St. Mary Medical Group, Llc 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: | St. Mary Medical Group, Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 54391 Village Center Dr # 6, Idyllwild,
California, 92549-9997 |
| Phone: | 951-659-2135 |
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: | Mr. James Mario La Ponza |
| Credentials: | PHARM.D |
| Position: | Vice President/pharmacist-in-charge |
| Contact Number: | 951-659-2135 |
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: | 1477760379 |
| NPI Enumeration Date: | 17 May, 2007 |
| NPI Last Update On: | 26 Dec, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for St. Mary Medical Group, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 56117 | California | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Community/Retail Pharmacy | PHY48585 | California | Secondary | |
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 |
| PHA196710 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 54391 Village Center Dr # 6,
Idyllwild, California |
| Zip: | 92549-9997 |
| Phone Number: | 951-659-2135 |
Patients can reach St. Mary Medical Group, Llc at
54391 Village Center Dr # 6, Idyllwild, California or can
call on customer care at 951-659-2135.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.