Dev Pharma Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DEV PHARMA INC

Doing business as

Ezrx Pharmacy

Practice address

731 Indian Hill Blvd
Pomona, CA 91767-5305

Phone

(909) 764-3060

Fax

(909) 764-3061

NPI assigned

May 1, 2015

Last updated

Apr 17, 2023By 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

Mr. Gopal D Sojitra, RPH

Title

President/Pic

Phone

(909) 764-3060

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• EZRX PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1700263480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 INDIAN HILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675305",
            "telephone_number": "909-764-3060",
            "fax_number": "909-764-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 INDIAN HILL BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675305",
            "telephone_number": "909-764-3060",
            "fax_number": "909-764-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEV PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "SOJITRA",
        "authorized_official_first_name": "GOPAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "909-764-3060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 53330",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700263480",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOP CA LICENSE",
            "identifier": "59000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EZRX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EZRX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Priyanka Ajaykumar Desai, PHARM.D.
• Raina Desai
• Latrice Desha
• Steven A Destefano, M.D.
• Dev Pharma Inc (EZRX Pharmacy)
• John J Devere, PA-C
• Devine Services LLC
• Adam Dew
• Jagtar Sarup Dhadwal, MD
• Neha Dhadwal, DO

• Community/Retail Pharmacy in Pomona, CA
• Providers in Pomona, 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 Apr 17, 2023; 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.