Active NPI
Jawad Pharmaceutical Corp
Doing business as Farmacia Santa Ana
- Pharmacy
- Santa Ana, CA
National Provider Identifier
1598399255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- JAWAD PHARMACEUTICAL CORP
- Doing business as
- Farmacia Santa Ana
- Practice address
- 307 E 1St St Ste D
Santa Ana, CA 92701-5302 - Phone
- (714) 542-5444
- Fax
- (714) 542-5414
- NPI assigned
- Mar 2, 2020
- Last updated
- Mar 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nasry Jawad
- Title
- Owner
- Phone
- (714) 542-5444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | Primary |
Addresses
Primary practice location
307 E 1St St Ste D
Santa Ana, CA 92701-5302
Mailing address
307 E 1St St Ste D
Santa Ana, CA 92701-5302
Phone (714) 542-5444
Other names 1
- Farmacia Santa Ana
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210521000706 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0941609028 |
1 other NPI on this enrollment Practice locations: Santa Ana, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Farmacia Rx Dinuba
- Community/Retail Pharmacy
- Dinuba, CA
- NPI 1902764657
O20210521000706
National Provider Directory
National Provider DirectoryLocations
307 E 1st St
Ste 1D
Santa Ana, CA 92701
Phone (714) 542-5444
307 E 1st St
Ste D
Santa Ana, CA 92701
Phone (714) 542-5444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583107200000",
"number": "1598399255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 E 1ST ST STE D",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015302",
"telephone_number": "714-542-5444",
"fax_number": "714-542-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 E 1ST ST STE D",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927015302",
"telephone_number": "714-542-5444",
"fax_number": "714-542-5414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAWAD PHARMACEUTICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-02",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A",
"authorized_official_last_name": "JAWAD",
"authorized_official_first_name": "NASRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-542-5444"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Farmacia Santa Ana",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.