Organization Active NPI

Michel Daher Corp

  • Long Term Care Pharmacy
  • Duarte, CA
National Provider Identifier
1508583444
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MICHEL DAHER CORP
Practice address
931 Buena Vista St Ste 104
Duarte, CA 91010-1780
Phone
(626) 357-8500
Fax
(626) 838-5588
NPI assigned
Oct 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Michel Daher, PHARMD
Title
Ceo
Phone
(626) 357-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

931 Buena Vista St Ste 104
Duarte, CA 91010-1780

Mailing address

931 Buena Vista St Ste 104
Duarte, CA 91010-1780
Phone (626) 357-8500

Other identifiers 1

IdentifierTypeStateIssuer
1942605316MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Michel Daher Corp2 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.

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1508583444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST STE 104",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101780",
            "telephone_number": "626-357-8500",
            "fax_number": "626-838-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST STE 104",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101780",
            "telephone_number": "626-357-8500",
            "fax_number": "626-838-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHEL DAHER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "DAHER",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-357-8500",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942605316",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.