Organization Active NPI

Maya Pharmaceutical Group Inc

Doing business as PharmaMia

  • Community/Retail Pharmacy
  • Trabuco Canyon, CA
National Provider Identifier
1447035480
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MAYA PHARMACEUTICAL GROUP INC
Doing business as
PharmaMia
Practice address
31961 Dove Canyon Dr Ste D
Trabuco Canyon, CA 92679-3722
Phone
(949) 567-6402
NPI assigned
Aug 29, 2023
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Mrs. Maya ZalzaliNPI 1689333205
Title
Ceo
Phone
(949) 567-6402

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

31961 Dove Canyon Dr Ste D
Trabuco Canyon, CA 92679-3722

Mailing address

31961 Dove Canyon Dr Ste D
Trabuco Canyon, CA 92679-3722
Phone (949) 567-6402

Other names 1

  • PharmaMia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240823002892 CA Part B Supplier - Pharmacy 2365981149 Practice locations: Trabuco Canyon, CA

National Provider Directory

National Provider Directory

Locations

31961 Dove Canyon Dr
Ste D
Trabuco Canyon, CA 92679
Phone (949) 567-6402

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1447035480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31961 DOVE CANYON DR STE D",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793722",
            "telephone_number": "949-567-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31961 DOVE CANYON DR STE D",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793722",
            "telephone_number": "949-567-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYA PHARMACEUTICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "ZALZALI",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-567-6402",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharmaMia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PharmaMia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trabuco Canyon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.