Model Drug Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY46380 Issued in CA

Legal business name

MODEL DRUG INC

Practice address

1506 Draper St
Kingsburg, CA 93631

Phone

(559) 897-5111

Fax

(559) 897-1926

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Russ Zakarian, PHARM.D.NPI 1760485296

Title

Ceo

Phone

(559) 897-5111

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Russ Zakarian, PHARM.D.

  • Pharmacist
  • Kingsburg, CA
  • NPI 1760485296
  NPD Authorized official
• Natalie Kennedy, PHARM.D.

  • Pharmacist
  • Kingsburg, CA
  • NPI 1023754025
  NPD (past)
• Lilit Pogosyan, RPH

  • Geriatric Pharmacist
  • Kingsburg, CA
  • NPI 1992383764
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1790792356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 DRAPER ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "93631",
            "telephone_number": "559-897-5111",
            "fax_number": "559-897-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 DRAPER ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "93631",
            "telephone_number": "559-897-5111",
            "fax_number": "559-897-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODEL DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "ZAKARIAN",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-897-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY46380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Martinez
• Harjot Mattu
• Karissa McGuffin
• Anna Cynthia Metter
• Nathan Ryan Meyer
• Donna Maurine Moore, MS
• Daniel Mora, IDC
• Monserrat Morales
• Tristen Moran, PA-C
• Leeann L Moreno

• Long Term Care Pharmacy in Kingsburg, CA
• Providers in Kingsburg, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.