Guadalupe Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

51720 Issued in CA

Legal business name

GUADALUPE PHARMACY INC

Practice address

16444 Paramount Blvd
Ste 105
Paramount, CA 90723-5422

Phone

(562) 790-8618

Fax

(562) 790-8888

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Michael Soliman, RPH

Title

Owner

Phone

(562) 630-1620

Specialties & licenses 1

Addresses

Other names 1

• Santa Maria Pharmacy Doing business as

Tax ID family

Guadalupe Pharmacy 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.

• Guadalupe Pharmacy Inc

  • Long Term Care Pharmacy
  • Paramount, CA
  • NPI 1104436542
  NPD tax ID

Locations

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1508943473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16444 PARAMOUNT BLVD",
            "address_2": "STE 105",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235422",
            "telephone_number": "562-790-8618",
            "fax_number": "562-790-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16444 PARAMOUNT BLVD",
            "address_2": "STE 105",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235422",
            "telephone_number": "562-790-8618",
            "fax_number": "562-790-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-630-1620",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Maria Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gregory J. Szal, M.D., Inc.
• Kevin Griggs, PHARM.D.
• Guadalupe Pharmacy Inc
• Fernando Guerrero
• Regina Guerrero
• Latoyia Lakiesha Guy, MA, BCBA
• Ronald Charles Haliburton Jr.
• Shahla Hashemi, PAC

• Community/Retail Pharmacy in Paramount, CA
• Providers in Paramount, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.