Organization Active NPI

Jawad Pharmaceutical Corp

Doing business as Farmacia Santa Ana

  • Pharmacy
  • Santa Ana, CA
National Provider Identifier
1598399255
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.