DM Estrella Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y005637 Issued in AZ

Legal business name

DM ESTRELLA PHARMACY INC

Doing business as

Estrella Pharmacy

Practice address

9305 W Thomas Rd
Ste 185
Phoenix, AZ 85037-3328

Phone

(623) 388-5025

Fax

(623) 388-5075

NPI assigned

Apr 22, 2006

Last updated

Jun 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohamed Elembabi

Title

General Manager

Phone

(623) 388-5025

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Estrella Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1598721136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "STE 185",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373328",
            "telephone_number": "623-388-5025",
            "fax_number": "623-388-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "STE 185",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373328",
            "telephone_number": "623-388-5025",
            "fax_number": "623-388-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DM ESTRELLA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-22",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "ELEMBABI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "623-388-5025"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127688",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140131",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Estrella Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Djio Holdings Incorporated Dba Firstlight Home Care of Cave Creek, Az
• DJLW Health Services Inc. (Wheeler O&P)
• Vanja Djurdjevic
• DK Advocates Inc.
• DK Advocates Inc.
• DM Home Assessments LLC
• DME International Inc.
• Roman Dmitriyev, DO
• DML Operations LLC
• Andrzej Dmowski, MD

• Community/Retail Pharmacy in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.