Organization Active NPI

Dev Pharma Inc

  • Long Term Care Pharmacy
  • Pomona, CA
National Provider Identifier
1124846274
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
DEV PHARMA INC
Practice address
731 Indian Hill Blvd
Pomona, CA 91767-5305
Phone
(909) 764-3060
Fax
(909) 764-3061
NPI assigned
Sep 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Gopal D Sojitra, RPH
Title
President/Pic
Phone
(909) 764-3060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

731 Indian Hill Blvd
Pomona, CA 91767-5305

Mailing address

731 Indian Hill Blvd
Pomona, CA 91767-5305
Phone (909) 764-3060

Other identifiers 1

IdentifierTypeStateIssuer
PHY53330OtherCAPHARMACY PERMIT

Other names 1

  • EZRX Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

731 Indian Hill Blvd
Pomona, CA 91767
Phone (909) 764-3060

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1124846274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 INDIAN HILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675305",
            "telephone_number": "909-764-3060",
            "fax_number": "909-764-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 INDIAN HILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675305",
            "telephone_number": "909-764-3060",
            "fax_number": "909-764-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEV PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "SOJITRA",
        "authorized_official_first_name": "GOPAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "909-764-3060",
        "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": "PHARMACY PERMIT",
            "identifier": "PHY53330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EZRX Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.