Selma Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SELMA PHARMACY CORP

Doing business as

Selma

Practice address

2132 High St
Selma, CA 93662-3009

Phone

(917) 500-7020

NPI assigned

Aug 18, 2019

Last updated

Oct 23, 2019By 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

Shady Victor Monir Dous, RPHNPI 1245644426

Title

President

Phone

(917) 500-7020

Specialties & licenses 1

Addresses

Other names 1

• Selma Doing business as

Medicare fee-for-service enrollment

Enrolled in CA4 enrollments

Enrollment records 4

Tax ID family

Selma Pharmacy Corp2 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.

• Selma Pharmacy Corp

  dba Selma pharmacy LTC

  • Long Term Care Pharmacy
  • Selma, CA
  • NPI 1528929023
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shady Dous Sr.

  • Pharmacist
  • Selma, CA
  • NPI 1245644426
  NPD Authorized official

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

{
    "created_epoch": "1566086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1750937447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 HIGH ST",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 HIGH ST",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623009",
            "telephone_number": "917-500-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELMA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-18",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "DOUS",
        "authorized_official_first_name": "SHADY",
        "authorized_official_middle_name": "VICTOR MONIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-500-7020",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Selma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tania Sandhu, PHARMD
• Selma Care Holdings, LLC
• Selma Com
• Selma Convalescent Hospital, Inc (Selma Convalescent Hospital)
• Selma Pharmacy Corp (Selma pharmacy LTC)
• Selma Unified School District
• Norman Senzaki, D.D.S.
• Paulina Agabo Serrano
• Bimalroy N. Shah, MD
• Shailesh Shetty, M.D., Inc. (Central California Cardiovascular)

• Community/Retail Pharmacy in Selma, CA
• Providers in Selma, 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 Oct 23, 2019; 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.