NPIMap

Organization Active NPI

Express Service Pharmacy Inc

Doing business as Express Pharmacy

  • Community/Retail Pharmacy
  • Bakersfield, CA
National Provider Identifier
1306175823
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50150 Issued in CA
Legal business name
EXPRESS SERVICE PHARMACY INC
Doing business as
Express Pharmacy
Practice address
102 Brundage LN
Bakersfield, CA 93304-3203
Phone
(661) 325-2500
Fax
(661) 325-2828
NPI assigned
Dec 11, 2009
Last updated
Feb 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Iskander HusseinNPI 1518333517
Title
Owner / Coordinator
Phone
(661) 746-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY50150 CA Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

102 Brundage LN
Bakersfield, CA 93304-3203

Mailing address

102 Brundage LN
Bakersfield, CA 93304-3203
Phone (661) 325-2500

Other identifiers 1

IdentifierTypeStateIssuer
5636658OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Express Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

102 Brundage Ln
Bakersfield, CA 93304
Phone (661) 325-2500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1306175823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BRUNDAGE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933043203",
            "telephone_number": "661-325-2500",
            "fax_number": "661-325-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BRUNDAGE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933043203",
            "telephone_number": "661-325-2500",
            "fax_number": "661-325-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS SERVICE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "ISKANDER",
        "authorized_official_title_or_position": "OWNER / COORDINATOR",
        "authorized_official_telephone_number": "661-746-5600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50150",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5636658",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.