Organization Active NPI

Optimal Pharmacies Inc

Doing business as Komoto Custom Care Pharmacy

  • Compounding Pharmacy
  • Bakersfield, CA
National Provider Identifier
1356525760
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
PHY46042 Issued in CA
Legal business name
OPTIMAL PHARMACIES INC
Doing business as
Komoto Custom Care Pharmacy
Practice address
2110 Truxtun Ave
Ste 300
Bakersfield, CA 93301-3703
Phone
(661) 716-2673
Fax
(661) 716-2677
NPI assigned
Dec 20, 2007
Organization subpart
Yes
Parent organization
KOMOTO PHARMACY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Mr. Patrick Nelson Leroy, PHARM DNPI 1720338650
Title
Pharmacist-in-Charge
Phone
(661) 716-2673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY46042 CA
Compounding Pharmacy 3336C0004X PHY46042 CA Primary
Specialty Pharmacy 3336S0011X LSC99071 CA

Addresses

Primary practice location

2110 Truxtun Ave
Ste 300
Bakersfield, CA 93301-3703

Mailing address

2110 Truxtun Ave
Ste 300
Bakersfield, CA 93301-3703
Phone (661) 716-2673

Other names 1

  • Komoto Custom Care Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Komoto Pharmacy Inc

Locations

2110 Truxtun Ave
Ste 300
Bakersfield, CA 93301
Phone (661) 716-2673

Practitioners & affiliated clinicians

Practitioners 3

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": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1356525760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 TRUXTUN AVE",
            "address_2": "STE 300",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013703",
            "telephone_number": "661-716-2673",
            "fax_number": "661-716-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 TRUXTUN AVE",
            "address_2": "STE 300",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013703",
            "telephone_number": "661-716-2673",
            "fax_number": "661-716-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PHARMACIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOMOTO PHARMACY INC.",
        "enumeration_date": "2007-12-20",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "LEROY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "661-716-2673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46042",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY46042",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "LSC99071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Komoto Custom Care Pharmacy",
            "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 Nov 26, 2012; 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.