Healthcare Provider Details

I. General information

NPI: 1144245929
Provider Name (Legal Business Name): THE PRESCRIPTION SHOPPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S 2ND AVE STE 101
BARSTOW CA
92311-2805
US

IV. Provider business mailing address

400 S 2ND AVE STE 101
BARSTOW CA
92311-2805
US

V. Phone/Fax

Practice location:
  • Phone: 760-256-5614
  • Fax: 760-256-4461
Mailing address:
  • Phone: 760-256-5614
  • Fax: 760-256-4461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHY 45493
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA 47900
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA 35577
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberTCH 20170
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberTCH 26981
License Number StateCA
# 6
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA 35592
License Number StateCA

VIII. Authorized Official

Name: DR. MAHER GUIRGUIS GUINDI
Title or Position: MANAGER/PART-OWNER
Credential: PHARMD
Phone: 760-256-5614