Active NPI
Dorado Pharmacy Inc
- Community/Retail Pharmacy
- Pacoima, CA
National Provider Identifier
1275302739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- DORADO PHARMACY INC
- Doing business as
- DORADO PHARMACY 2
- Practice address
- 13678 Van Nuys Blvd
Pacoima, CA 91331-3616 - Phone
- (747) 274-1055
- NPI assigned
- Dec 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Razan Darrouj
- Title
- Owner
- Phone
- (747) 274-1055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
13678 Van Nuys Blvd
Pacoima, CA 91331-3616
Mailing address
13678 Van Nuys Blvd
Pacoima, CA 91331-3616
Phone (747) 274-1055
Other names 1
- DORADO PHARMACY 2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210805001620 | CA | Part B Supplier - Pharmacy | 7315208485 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pacoima, CA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Dorado Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Pacoima, CA
- NPI 1962126060
Locations
13678 Van Nuys Blvd
Pacoima, CA 91331
Phone (747) 225-3925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703548800000",
"number": "1275302739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13678 VAN NUYS BLVD",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913313616",
"telephone_number": "747-274-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13678 VAN NUYS BLVD",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913313616",
"telephone_number": "747-274-1055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DORADO PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-26",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A",
"authorized_official_last_name": "DARROUJ",
"authorized_official_first_name": "RAZAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "747-274-1055"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DORADO PHARMACY 2",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pacoima, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.