Organization Active NPI

Mari-Mina Pharmaceuticals Inc

Doing business as Del's Pharmacy II

  • Community/Retail Pharmacy
  • Duarte, CA
National Provider Identifier
1831449107
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50934 Issued in CA
Legal business name
MARI-MINA PHARMACEUTICALS INC
Doing business as
Del's Pharmacy II
Practice address
931 Buena Vista St Ste 104
Duarte, CA 91010-1780
Phone
(626) 357-8500
Fax
(626) 357-0119
NPI assigned
Sep 14, 2012
Last updated
Mar 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Sameh Rokes
Title
President/Pic
Phone
(626) 357-8500

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 50934 CA Primary
Home Infusion Therapy Pharmacy 3336H0001X
Long Term Care Pharmacy 3336L0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

931 Buena Vista St Ste 104
Duarte, CA 91010-1780

Mailing address

931 Buena Vista St
Suite 104
Duarte, CA 91010-1712
Phone (626) 357-8500

Other identifiers 1

IdentifierTypeStateIssuer
5645190OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Del's Pharmacy II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Del's Pharmacy I2 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.

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1831449107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST",
            "address_2": "SUITE 104",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101712",
            "telephone_number": "626-357-8500",
            "fax_number": "626-357-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST STE 104",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101780",
            "telephone_number": "626-357-8500",
            "fax_number": "626-357-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARI-MINA PHARMACEUTICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "ROKES",
        "authorized_official_first_name": "SAMEH",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "626-357-8500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50934",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5645190",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Del's Pharmacy II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duarte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.