Organization Active NPI

Ariyan Corporation

Doing business as Morro Bay Drug and Gift

  • Community/Retail Pharmacy
  • Morro Bay, CA
National Provider Identifier
1295053031
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ARIYAN CORPORATION
Doing business as
Morro Bay Drug and Gift
Practice address
600 Morro Bay Blvd Ste B
Morro Bay, CA 93442-1965
Phone
(805) 771-9988
Fax
(805) 771-9960
NPI assigned
May 4, 2010
Last updated
Oct 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Sumanta Baran Paul
Title
President
Phone
(805) 771-9988

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

600 Morro Bay Blvd Ste B
Morro Bay, CA 93442-1965

Mailing address

600 Morro Bay Blvd
Suite B
Morro Bay, CA 93442-1935
Phone (805) 771-9988

Other identifiers 2

IdentifierTypeStateIssuer
1295053031MedicaidCA
2124902OtherPK

Other names 1

  • Morro Bay Drug and Gift Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1295053031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MORRO BAY BLVD",
            "address_2": "SUITE B",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934421935",
            "telephone_number": "805-771-9988",
            "fax_number": "805-771-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MORRO BAY BLVD STE B",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934421965",
            "telephone_number": "805-771-9988",
            "fax_number": "805-771-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIYAN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "SUMANTA",
        "authorized_official_middle_name": "BARAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-771-9988"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295053031",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124902",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morro Bay Drug and Gift",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Morro Bay Drug and Gift",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morro Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.