Organization Active NPI

Soliman-Girgis Corp

Doing business as Nuevo Pharmacy

  • Community/Retail Pharmacy
  • Perris, CA
National Provider Identifier
1346516424
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50826 Issued in CA
Legal business name
SOLIMAN-GIRGIS CORP
Doing business as
Nuevo Pharmacy
Practice address
75 W Nuevo Rd Ste H
Perris, CA 92571-0801
Phone
(951) 322-4700
Fax
(951) 943-4645
NPI assigned
Mar 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Michale Soliman
Title
Owner
Phone
(951) 322-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50826 CA Primary

Addresses

Primary practice location

75 W Nuevo Rd Ste H
Perris, CA 92571-0801

Mailing address

75 W Nuevo Rd Ste H
Perris, CA 92571-0801
Phone (951) 322-4700

Other identifiers 1

IdentifierTypeStateIssuer
1346516424MedicaidCA

Other names 1

  • Nuevo Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210324003395 CA Part B Supplier - Mass Immunization (Roster Biller Only) 8426465121 Practice locations: Perris, CA

National Provider Directory

National Provider Directory

Locations

75 W Nuevo Rd
Ste H
Perris, CA 92571
Phone (951) 322-4700

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": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1346516424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W NUEVO RD STE H",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925710801",
            "telephone_number": "951-322-4700",
            "fax_number": "951-943-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W NUEVO RD STE H",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925710801",
            "telephone_number": "951-322-4700",
            "fax_number": "951-943-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLIMAN-GIRGIS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "MICHALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-322-4700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346516424",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nuevo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nuevo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.