Guadalupe Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GUADALUPE PHARMACY INC

Doing business as

Santa Maria RX Pharmacy

Practice address

16444 Paramount Blvd Ste 101
Paramount, CA 90723-5453

Phone

(562) 232-3732

Fax

(562) 232-3651

NPI assigned

Jul 31, 2020

Organization subpart

No

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

Authorized official

Name

Michael Soliman, RPH

Title

Owner

Phone

(562) 630-1620

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SANTA MARIA RX PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Guadalupe Pharmacy 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.

• Guadalupe Pharmacy Inc

  dba Santa Maria Pharmacy

  • Community/Retail Pharmacy
  • Paramount, CA
  • NPI 1508943473
  NPD tax ID

Locations

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1104436542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16444 PARAMOUNT BLVD STE 101",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235453",
            "telephone_number": "562-232-3732",
            "fax_number": "562-232-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16444 PARAMOUNT BLVD STE 101",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235453",
            "telephone_number": "562-232-3732",
            "fax_number": "562-232-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-630-1620",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "57781",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANTA MARIA RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SANTA MARIA RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesus Gonzalez, PA-C
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• Green Wells Eecp Physical Therapy (green wells eecp)
• Gregory J. Szal, M.D., Inc.
• Kevin Griggs, PHARM.D.
• Guadalupe Pharmacy Inc (Santa Maria Pharmacy)
• Fernando Guerrero
• Regina Guerrero
• Latoyia Lakiesha Guy, MA, BCBA
• Ronald Charles Haliburton Jr.

• Long Term Care Pharmacy in Paramount, CA
• Providers in Paramount, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.