NPIMap

Organization Active NPI

Express Drugs

Doing business as Express Pharmacy #8

  • Community/Retail Pharmacy
  • Bakersfield, CA
National Provider Identifier
1336546126
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
51877 Issued in CA
Legal business name
EXPRESS DRUGS
Doing business as
Express Pharmacy #8
Practice address
9902 Brimhall Rd Ste 100
Bakersfield, CA 93312-2801
Phone
(661) 829-7861
Fax
(661) 829-7862
NPI assigned
Nov 24, 2014
Organization subpart
Yes
Parent organization
EXPRESS DRUGSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Mr. Amer Jawich
Title
Vice President
Phone
(484) 340-0990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 51877 CA Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

9902 Brimhall Rd Ste 100
Bakersfield, CA 93312-2801

Mailing address

PO Box 9699
Bakersfield, CA 93389-9699
Phone (661) 829-7861

Other identifiers 1

IdentifierTypeStateIssuer
51877OtherCAPHARMACY LICENSE NUMBER

Other names 1

  • Express Pharmacy #8 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171101001470 CA Part B Supplier - Mass Immunization (Roster Biller Only) 7911146543 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bakersfield, CA
O20210201000216 CA Part B Supplier - Independent Clinical Laboratory 7911146543 Practice locations: Bakersfield, CA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Part of
Express Drugs

Locations

9902 Brimhall Rd
#100
Bakersfield, CA 93312
Phone (661) 829-7861

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1336546126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9699",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933899699",
            "telephone_number": "661-829-7861",
            "fax_number": "661-829-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9902 BRIMHALL RD STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122801",
            "telephone_number": "661-829-7861",
            "fax_number": "661-829-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS DRUGS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXPRESS DRUGS",
        "enumeration_date": "2014-11-24",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "JAWICH",
        "authorized_official_first_name": "AMER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "484-340-0990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51877",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "51877",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Pharmacy #8",
            "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 Apr 8, 2021; 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.

Verify at the official NPI Registry.