Komoto Pharmacy, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

KOMOTO PHARMACY, INC.

Practice address

1017 Ellington St
Delano, CA 93215-2621

Phone

(661) 725-9489

Fax

(661) 721-2537

NPI assigned

Sep 18, 2024

Organization subpart

Yes

Parent organization

KOMOTO PHARMACY, INC.As reported in NPPES

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

Authorized official

Name

Kevin Komoto

Title

Coo

Phone

(661) 427-4612

Specialties & licenses 1

Addresses

Tax ID family

Komoto Pharmacy Inc3 organizations share this tax ID, including this one

Part of

Komoto Pharmacy Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Komoto Pharmacy Inc.

  • Long Term Care Pharmacy
  • Bakersfield, CA
  • NPI 1871349563
  NPD tax ID
• Komoto Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Delano, CA
  • NPI 1548275324
  NPD tax ID

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1861229254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 ELLINGTON ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932152621",
            "telephone_number": "661-725-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 ELLINGTON ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932152621",
            "telephone_number": "661-725-9489",
            "fax_number": "661-721-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOMOTO PHARMACY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOMOTO PHARMACY, INC.",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "KOMOTO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "661-427-4612"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Heajin Kim, PHARM.D
• Taegun Kim, PHARM.D.
• Yuliya Kim
• Mark Alan Kirklin
• Komoto Pharmacy, Inc.
• Brian Komoto, PHARMD
• Lori Ann Kucia-Park, O.D.
• Keerat Kuckreja
• La Laser Center PC, a Professional Medical Corporation
• Falgooni Lad, PSYD

• Long Term Care Pharmacy in Delano, CA
• Providers in Delano, 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 Sep 18, 2024; 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.