Nasibadara, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY55801 Issued in CA

Legal business name

NASIBADARA, INC

Practice address

23665 Moulton Pkwy Ste a&C
Laguna Hills, CA 92653-1937

Phone

(949) 586-3664

Fax

(949) 580-1723

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Stewart EdingtonNPI 1154732998

Title

Owner

Phone

(954) 818-6813

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• El Toro Pharmacy Former legal business name

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Nasibadara, Inc

  • Long Term Care Pharmacy
  • Laguna Hills, CA
  • NPI 1134606767
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stewart Edington

  • Pharmacist
  • Laguna Hills, CA
  • NPI 1154732998
  NPD Authorized official

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1124122841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23665 MOULTON PKWY",
            "address_2": "SUITE A & C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531937",
            "telephone_number": "949-586-3664",
            "fax_number": "949-580-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23665 MOULTON PKWY STE A&C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531937",
            "telephone_number": "949-586-3664",
            "fax_number": "949-580-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASIBADARA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "EDINGTON",
        "authorized_official_first_name": "STEWART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-818-6813"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY55801",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1997867",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA44808",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Toro Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "El Toro Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Morgan Summer Naim, DPT
• Leah Y Nakamura, M.D.
• Keeban Caleb Nam, M.D.
• Nana'S Garden 2
• Brianne Napier
• Nasibadara, Inc
• Pasha Nastaran
• Nathaniel D Ho MD Inc
• Ervey Nava
• Lauren J Nava

• Pharmacy in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.