Samarex LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SAMAREX LLC

Doing business as

RYSA Pharmacy 101

Practice address

620 Broadway St Ste P
King City, CA 93930-3200

Phone

(831) 204-6020

NPI assigned

Mar 5, 2019

Organization subpart

No

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

Authorized official

Name

Mersede Rana

Title

Owner

Phone

(408) 209-4067

Specialties & licenses 1

Addresses

Other names 1

• RYSA Pharmacy 101 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Shahid J Rana, R.PH

  • Pharmacist
  • Hollister, CA
  • NPI 1528239035
  NPD
• Ryan Rana, PHARM.D

  • Pharmacist
  • King City, CA
  • NPI 1780281006
  NPD (past)

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1336607795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19095 RAVENSWOOD CT",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950379040",
            "telephone_number": "408-209-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BROADWAY ST STE P",
            "city": "KING CITY",
            "state": "CA",
            "postal_code": "939303200",
            "telephone_number": "831-204-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMAREX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "MERSEDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-209-4067"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RYSA Pharmacy 101",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RYSA Pharmacy 101",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doreen Rodrian, OTR/L
• Allysah Rodriguez
• Carla Magali Romero
• Vanessa Monique Rouch, RADT
• Salinas Valley Radiologists, Inc.
• Deztenee Arytzee Sanchez
• Rosa Jacqueline Santiago
• Eduardo Gonzalez Santillan
• Amber Marie Sarina, RDHAP
• Roy Schindelheim, M.D.

• Community/Retail Pharmacy in King City, CA
• Providers in King City, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.