Paseo Pharmacy LTD

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PHY51907 Issued in CA

Legal business name

PASEO PHARMACY LTD

Practice address

2237 E Colorado Blvd
B104
Pasadena, CA 91107-3650

Phone

(626) 564-1001

Fax

(626) 583-8833

NPI assigned

Oct 14, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Andre Saroughian

Title

President/Owner

Phone

(626) 564-1001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PASEO PHARMACY Doing business as

Tax ID family

Paseo Pharmacy2 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.

• Paseo Pharmacy LTD

  • Community/Retail Pharmacy
  • Pasadena, CA
  • NPI 1104800457
  NPD tax ID

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1194196303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 E COLORADO BLVD",
            "address_2": "B104",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073650",
            "telephone_number": "626-564-1001",
            "fax_number": "626-583-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 E COLORADO BLVD",
            "address_2": "B104",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073650",
            "telephone_number": "626-564-1001",
            "fax_number": "626-583-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASEO PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "SAROUGHIAN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "626-564-1001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "PHY51907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "PHY 51907",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PASEO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pasadena Wound Specialty, Inc.
• Laryssa Jean-Marie Pascal
• Justine Mercado Pascua, M.ED.
• Gabrielle Pascual
• Paseo Pharmacy LTD
• Paseo RX Inc
• Antonio Pasimio
• Pasito X Pasito LLC
• Natasha Pasten-Cuevas
• Judith Louise 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 Oct 14, 2015; 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.