Paseo RX Inc

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

54471 Issued in CA

Legal business name

PASEO RX INC

Doing business as

Ararat Pharmacy

Practice address

1717 E Walnut St
Pasadena, CA 91106-1611

Phone

(626) 798-6789

Fax

(626) 798-8376

NPI assigned

Sep 28, 2005

Last updated

Mar 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Feng, PHARM.DNPI 1649381831

Title

Owner/Pic

Phone

(626) 798-6789

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Ararat Pharmacy Doing business as

Locations

Practitioners 1

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.

• Daniel Feng, PHARM.D.

  • Pharmacist
  • Pasadena, CA
  • NPI 1649381831
  NPD Authorized official

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

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1093702763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 E WALNUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061611",
            "telephone_number": "626-798-6789",
            "fax_number": "626-798-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E WALNUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061611",
            "telephone_number": "626-798-6789",
            "fax_number": "626-798-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASEO RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-28",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "FENG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "626-798-6789",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "54471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121732",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093702763",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ararat Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laryssa Jean-Marie Pascal
• Justine Mercado Pascua, M.ED.
• Gabrielle Pascual
• Paseo Pharmacy LTD (Paseo Pharmacy)
• Paseo Pharmacy LTD (Paseo Pharmacy)
• Antonio Pasimio
• Pasito X Pasito LLC
• Natasha Pasten-Cuevas
• Judith Louise Pasternack, LCSW
• Katherine Pasternack, LCSW

• Specialty Pharmacy in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Specialty Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.