Organization Active NPI

Santa Barbara Specialty Pharmacy, LLC

  • Pharmacy
  • Carpinteria, CA
National Provider Identifier
1609209352
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
55695 Issued in CA
Legal business name
SANTA BARBARA SPECIALTY PHARMACY, LLC
Practice address
4690 Carpinteria Ave Ste B
Carpinteria, CA 93013-1875
Phone
(805) 770-2061
Fax
(805) 456-0416
NPI assigned
Aug 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Nicholas Maroulis, PHARMDNPI 1073865549
Title
Vice President
Phone
(689) 263-5021

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 55695 CA Primary
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

4690 Carpinteria Ave Ste B
Carpinteria, CA 93013-1875

Mailing address

3200 Lake Emma Rd Unit 1000
Lake Mary, FL 32746-3358
Phone (888) 292-0744

Other identifiers 2

IdentifierTypeStateIssuer
1609209352MedicaidCA
PHY58666OtherCAPHARMACY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131108000276 CA DME Supplier - Pharmacy 5193950616 Practice locations: Carpinteria, CA
O20160323000526 CA Part B Supplier - Pharmacy 5193950616 Practice locations: Carpinteria, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Santa Barbara Specialty Pharmacy4690 Carpinteria Ave, Carpinteria, CA 93013-1875(844) 726-8279 Immunosuppressive Drugs|Infusion Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies Accepts assignmentParticipating since Mar 21, 2016

National Provider Directory

National Provider Directory

Locations

4690 Carpinteria Ave
Ste B
Carpinteria, CA 93013
Phone (805) 770-2061

174 Aero Camino
Goleta, CA 93117
Phone (805) 770-2061

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1609209352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 LAKE EMMA RD UNIT 1000",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463358",
            "telephone_number": "888-292-0744",
            "fax_number": "833-670-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 CARPINTERIA AVE STE B",
            "city": "CARPINTERIA",
            "state": "CA",
            "postal_code": "930131875",
            "telephone_number": "805-770-2061",
            "fax_number": "805-456-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "MAROULIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "689-263-5021",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "55695",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609209352",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PHY58666",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carpinteria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.