Organization Active NPI

Desai Drugs Inc

  • Community/Retail Pharmacy
  • San Bernardino, CA
National Provider Identifier
1154433076
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
100646 Issued in AK
Legal business name
DESAI DRUGS INC
Doing business as
GUARDIAN PHARMACY
Practice address
1823 Commercenter W
San Bernardino, CA 92408-3303
Phone
(909) 570-2339
Fax
(877) 220-0199
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Sumit Desai, PHARM DNPI 1760602692
Title
President
Phone
(909) 570-2339

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 15

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY48241 CA
Community/Retail Pharmacy 3336C0003X OSP.0006439 CO
Community/Retail Pharmacy 3336C0003X 100646 AK Primary
Community/Retail Pharmacy 3336C0003X PH29533 FL
Community/Retail Pharmacy 3336C0003X 12966 NC
Community/Retail Pharmacy 3336C0003X 22-45091 KS
Community/Retail Pharmacy 3336C0003X 2016028417 MO
Community/Retail Pharmacy 3336C0003X A9-0001934 DE
Community/Retail Pharmacy 3336C0003X 265200 MN
Community/Retail Pharmacy 3336C0003X PHNR001053 GA
Community/Retail Pharmacy 3336C0003X PMP-1341 HI
Community/Retail Pharmacy 3336C0003X 43844MS ID
Community/Retail Pharmacy 3336C0003X 64002232A IN
Community/Retail Pharmacy 3336C0003X 4766 IA
Community/Retail Pharmacy 3336C0003X PHA-MOP-LIC-42811 MT

Addresses

Primary practice location

1823 Commercenter W
San Bernardino, CA 92408-3303

Mailing address

1823 Commercenter W
San Bernardino, CA 92408-3303
Phone (909) 570-2339

Other identifiers 2

IdentifierTypeStateIssuer
2004808OtherPK
PHA482410MedicaidCA

Other names 1

  • GUARDIAN PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

12112 4th St
Yucaipa, CA 92399
Phone (909) 618-7299

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1154433076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 COMMERCENTER W",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083303",
            "telephone_number": "909-570-2339",
            "fax_number": "877-220-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 COMMERCENTER W",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083303",
            "telephone_number": "909-570-2339",
            "fax_number": "877-220-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESAI DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SUMIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-570-2339",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48241",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "OSP.0006439",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AK",
            "license": "100646",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29533",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "12966",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "22-45091",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2016028417",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "DE",
            "license": "A9-0001934",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "265200",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHNR001053",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PMP-1341",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "43844MS",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "64002232A",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "4766",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "PHA-MOP-LIC-42811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2004808",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA482410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUARDIAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.