Active NPI
Dacel Inc
Doing business as San Gabriel Medical Pharmacy
- Durable Medical Equipment & Medical Supplies
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PHA223000
- Legal business name
- DACEL INC
- Doing business as
- San Gabriel Medical Pharmacy
- Practice address
- 1250 S Sunset Ave Ste 207
West Covina, CA 91790-3962 - Phone
- (626) 960-8696
- Fax
- (626) 960-8749
- NPI assigned
- Oct 23, 2006
- Last updated
- Aug 13, 2008
- 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
- Miss Thi M Dang, PHARM D
- Title
- Pharmacist President
- Phone
- (626) 960-8696
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PHA223000 | CA | Primary |
Addresses
Primary practice location
1250 S Sunset Ave Ste 207
West Covina, CA 91790-3962
Mailing address
1250 S Sunset Ave Ste 207
West Covina, CA 91790-3962
Phone (626) 960-8696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA 223000 | Medicaid | CA |
Other names 1
- SAN GABRIEL MEDICAL PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Dacel Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1250 S Sunset Ave
Ste 207
West Covina, CA 91790
Phone (626) 960-8696
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.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- West Covina, CA
- NPI 1366956211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1306929203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 S SUNSET AVE STE 207",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903962",
"telephone_number": "626-960-8696",
"fax_number": "626-960-8749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 S SUNSET AVE STE 207",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903962",
"telephone_number": "626-960-8696",
"fax_number": "626-960-8749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DACEL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "DANG",
"authorized_official_first_name": "THI",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHARMACIST PRESIDENT",
"authorized_official_telephone_number": "626-960-8696",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "PHA223000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA 223000",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAN GABRIEL MEDICAL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.