Organization Active NPI

Dib Pharmaceutical Inc

  • Long Term Care Pharmacy
  • El Cajon, CA
National Provider Identifier
1548966518
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
DIB PHARMACEUTICAL INC
Practice address
528 E Main St
El Cajon, CA 92020-4008
Phone
(619) 605-0000
Fax
(619) 558-3500
NPI assigned
Feb 1, 2023
Last updated
Feb 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Nadim DibNPI 1093123473
Title
Ceo/ Owner
Phone
(619) 605-0000

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 1

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

Addresses

Primary practice location

528 E Main St
El Cajon, CA 92020-4008

Mailing address

528 E Main St
El Cajon, CA 92020-4008
Phone (619) 605-0000

Other identifiers 1

IdentifierTypeStateIssuer
1821619271MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1548966518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 E MAIN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204008",
            "telephone_number": "619-605-0000",
            "fax_number": "619-558-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 E MAIN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204008",
            "telephone_number": "619-605-0000",
            "fax_number": "619-558-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIB PHARMACEUTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "DIB",
        "authorized_official_first_name": "NADIM",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "619-605-0000"
    },
    "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": "1821619271",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.