NPIMap

Organization Active NPI

Domel Inc.

  • Community/Retail Pharmacy
  • Hemet, CA
National Provider Identifier
1427079482
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY15752 Issued in CA
Legal business name
DOMEL INC.
Doing business as
SAIL DRUG
Practice address
156 N Harvard St
Hemet, CA 92543-4250
Phone
(951) 658-7247
Fax
(951) 658-6292
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Melvin Eirew
Title
President
Phone
(951) 658-7247

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY15752 CA Primary

Addresses

Primary practice location

156 N Harvard St
Hemet, CA 92543-4250

Mailing address

PO Box 1497
Hemet, CA 92546-1497
Phone (951) 658-7247

Other identifiers 2

IdentifierTypeStateIssuer
1995472OtherPK
PHA157520MedicaidCA

Other names 1

  • SAIL DRUG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Domel Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

156 N Harvard St
Hemet, CA 92543
Phone (951) 658-7247

Practitioners & affiliated clinicians

Practitioners 1

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1427079482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1497",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925461497",
            "telephone_number": "951-658-7247",
            "fax_number": "951-658-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 N HARVARD ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434250",
            "telephone_number": "951-658-7247",
            "fax_number": "951-658-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMEL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "EIREW",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-658-7247"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY15752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995472",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA157520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAIL DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.