Organization Active NPI

San Marcos Pharmacy Inc

Doing business as Santa Maria Pharmacy

  • Community/Retail Pharmacy
  • Paramount, CA
National Provider Identifier
1316963952
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY53623 Issued in CA
Legal business name
SAN MARCOS PHARMACY INC
Doing business as
Santa Maria Pharmacy
Practice address
16279 Paramount Blvd Ste G
Paramount, CA 90723-5421
Phone
(562) 630-1620
Fax
(562) 630-1720
NPI assigned
Jul 15, 2006
Last updated
Aug 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Michael Soliman, RPH
Title
Owner
Phone
(562) 630-1620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY53623 CA Primary

Addresses

Primary practice location

16279 Paramount Blvd Ste G
Paramount, CA 90723-5421

Mailing address

16279 Paramount Blvd
Unit G
Paramount, CA 90723-5421
Phone (562) 630-1620

Other identifiers 1

IdentifierTypeStateIssuer
2143355OtherPK

Other names 1

  • Santa Maria Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

16249 Paramount Blvd
Ste A
Paramount, CA 90723
Phone (562) 630-1620

16279 Paramount Blvd
Ste G
Paramount, CA 90723
Phone (562) 630-1620

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1316963952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16279 PARAMOUNT BLVD",
            "address_2": "UNIT G",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235421",
            "telephone_number": "562-630-1620",
            "fax_number": "562-630-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16279 PARAMOUNT BLVD STE G",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235421",
            "telephone_number": "562-630-1620",
            "fax_number": "562-630-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MARCOS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-630-1620",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143355",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Maria Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Santa Maria Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paramount, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.