Model Drug Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY51269 Issued in CA

Legal business name

MODEL DRUG INC

Doing business as

Model Drug

Practice address

911 Oak Park Blvd
Suite 101
Pismo Beach, CA 93449-3405

Phone

(805) 481-5111

Fax

(805) 481-5729

NPI assigned

Feb 26, 2013

Last updated

Dec 18, 2016By 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

Rasmik Zakarian

Title

President

Phone

(559) 897-5111

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Model Drug Doing business as

Practitioners 3

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.

• Russ Zakarian, PHARM.D.

  • Pharmacist
  • Kingsburg, CA
  • NPI 1760485296
  NPD
• 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": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1851631097",
    "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": "936311909",
            "telephone_number": "805-481-5111",
            "fax_number": "805-481-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 OAK PARK BLVD",
            "address_2": "SUITE 101",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493405",
            "telephone_number": "805-481-5111",
            "fax_number": "805-481-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODEL DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "ZAKARIAN",
        "authorized_official_first_name": "RASMIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-897-5111"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY51269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139162",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Model Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Melissa Michaels, CMP
• Jonathan Mielziner
• Stacy D Mierau, PA-C
• Vanessa Rose Miller
• Gerry Ann Mitchell
• Elissa Molfino, NP
• Mona Gill O D Corp (Advanced Eyecare Central Coast)
• Laurie Katherine Moore, PA
• Sara A. Moorehouse, DO
• Judy Burke Morabito, C. PED.

• Long Term Care Pharmacy in Pismo Beach, CA
• Providers in Pismo Beach, 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 Dec 18, 2016; 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.