Organization Active NPI

Komoto Pharmacy Inc.

  • Long Term Care Pharmacy
  • Bakersfield, CA
National Provider Identifier
1871349563
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KOMOTO PHARMACY INC.
Practice address
2110 Truxtun Ave Ste 100
Bakersfield, CA 93301-3703
Phone
(661) 327-7524
Fax
(661) 327-8793
NPI assigned
Apr 24, 2024
Organization subpart
Yes
Parent organization
KOMOTO PHARMACY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Michael Urmston
Title
Pharmacist in Charge
Phone
(661) 327-7524

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2110 Truxtun Ave Ste 100
Bakersfield, CA 93301-3703

Mailing address

2110 Truxtun Ave Ste 100
Bakersfield, CA 93301-3703
Phone (661) 327-7524

Other names 1

  • Komoto Medical Pharmacy Doing business as

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1871349563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 TRUXTUN AVE STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013703",
            "telephone_number": "661-327-7524",
            "fax_number": "661-327-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 TRUXTUN AVE STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013703",
            "telephone_number": "661-327-7524",
            "fax_number": "661-327-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOMOTO PHARMACY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOMOTO PHARMACY INC.",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "URMSTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "661-327-7524"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Komoto Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Komoto Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.