Domel Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY18305 Issued in CA

Legal business name

DOMEL INC.

Doing business as

Sail Drug and Discount Center

Practice address

12350 California St
Yucaipa, CA 92399-4404

Phone

(909) 797-9191

Fax

(909) 797-4784

NPI assigned

Sep 12, 2006

Last updated

Mar 8, 2017By 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

Melvin Eirew

Title

President

Phone

(951) 658-7247

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SAIL DRUG AND DISCOUNT CENTER Doing business as

Tax ID family

Domel Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Domel Inc.

  dba Sail Drug

  • Community/Retail Pharmacy
  • Hemet, CA
  • NPI 1427079482
  NPD tax ID

Locations

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1689778631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1497",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925461497",
            "telephone_number": "909-797-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 CALIFORNIA ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994404",
            "telephone_number": "909-797-9191",
            "fax_number": "909-797-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMEL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "EIREW",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-658-7247"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY18305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995688",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA183050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAIL DRUG AND DISCOUNT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bhavesh Desai, PHARM.D.
• Faith Hope Love Devaux
• Amber Colleen Dexter
• DLR Family Medicine Medical Group PC
• Huy Van DO
• Brandon L Dominguez, RN
• Kofi N Donkor, PHARMD, BCOP, MHA
• Sahil Anup Dosaj, O.D.
• Mauricio Dossantos, DDS
• Richard D Doty, M.D.

• Community/Retail Pharmacy in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.