Organization Active NPI

Dak Healthcare Inc

Doing business as 986 Pharmacy#8009

  • Community/Retail Pharmacy
  • Whittier, CA
National Provider Identifier
1053312439
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DAK HEALTHCARE INC
Doing business as
986 Pharmacy#8009
Practice address
9209 Colima Rd
Ste 1100
Whittier, CA 90605-1800
Phone
(562) 789-5852
Fax
(562) 789-5854
NPI assigned
Aug 9, 2005
Last updated
Aug 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danny Thai, PHARM.D.NPI 1841881372
Title
Ceo
Phone
(626) 456-4132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY43307 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

9209 Colima Rd
Ste 1100
Whittier, CA 90605-1800

Mailing address

9209 Colima Rd
Ste 1100
Whittier, CA 90605-1800
Phone (562) 789-5852

Other identifiers 2

IdentifierTypeStateIssuer
2004661OtherPK
1053312439MedicaidCA

Other names 1

  • 986 Pharmacy#8009 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20211129001268 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2163812579 Practice locations: Whittier, CA
O20211230001096 CA DME Supplier - Pharmacy 2163812579 Practice locations: Whittier, CA
O20221121002656 CA Part B Supplier - Pharmacy 2163812579 Practice locations: Whittier, CA

National Provider Directory

National Provider Directory
Tax ID family
Dak Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

510 W Main St
Ste 111
El Centro, CA 92243
Phone (562) 789-5852

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1053312439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 COLIMA RD",
            "address_2": "STE 1100",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051800",
            "telephone_number": "562-789-5852",
            "fax_number": "562-789-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 COLIMA RD",
            "address_2": "STE 1100",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051800",
            "telephone_number": "562-789-5852",
            "fax_number": "562-789-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAK HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-456-4132",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY43307",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2004661",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053312439",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "986 Pharmacy#8009",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.