Organization Active NPI

Newman Pioneer Drug Inc

Doing business as Pioneer Drug

  • Community/Retail Pharmacy
  • Gustine, CA
National Provider Identifier
1881706877
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46341 Issued in CA
Legal business name
NEWMAN PIONEER DRUG INC
Doing business as
Pioneer Drug
Practice address
397 5TH St
Gustine, CA 95322-1236
Phone
(209) 854-1007
Fax
(209) 854-6768
NPI assigned
Aug 31, 2006
Last updated
May 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Benjamin Parolini, PHARMDNPI 1174044663
Title
Pic Owner
Phone
(209) 854-1007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY46341 CA Primary

Addresses

Primary practice location

397 5TH St
Gustine, CA 95322-1236

Mailing address

397 5TH St
Gustine, CA 95322-1236
Phone (209) 854-1007

Other identifiers 2

IdentifierTypeStateIssuer
PHA463410MedicaidCA
2003598OtherPK

Other names 1

  • PIONEER DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930022147 CA DME Supplier - Pharmacy 9830390012 Practice locations: Gustine, CA
O20141029000865 CA Part B Supplier - Mass Immunization (Roster Biller Only) 9830390012 1 other NPI on this enrollment
Practice locations: Gustine, CA; Newman, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pioneer Drug # 2397 5TH St, Gustine, CA 95322-1126(209) 854-1007 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Walkers|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Jun 28, 2005

National Provider Directory

National Provider Directory
Tax ID family
Newman Pioneer Drug Inc2 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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1881706877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 5TH ST",
            "city": "GUSTINE",
            "state": "CA",
            "postal_code": "953221236",
            "telephone_number": "209-854-1007",
            "fax_number": "209-854-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 5TH ST",
            "city": "GUSTINE",
            "state": "CA",
            "postal_code": "953221236",
            "telephone_number": "209-854-1007",
            "fax_number": "209-854-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWMAN PIONEER DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "PAROLINI",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PIC OWNER",
        "authorized_official_telephone_number": "209-854-1007",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA463410",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2003598",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIONEER DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gustine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.