Komoto Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY43860 Issued in CA

Legal business name

KOMOTO PHARMACY INC.

Practice address

2110 Truxtun Ave
#100
Bakersfield, CA 93301-3703

Phone

(661) 327-7524

Fax

(661) 327-8793

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Michael Urmston, RPH

Title

Pharmacist in Charge

Phone

(661) 327-7524

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Komoto Medical Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

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

• Komoto Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Delano, CA
  • NPI 1548275324

  4587705637

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Komoto Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Delano, CA
  • NPI 1548275324

  O20100112000026

  Same enrollment

Locations

Practitioners 5

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

• Amy Flores, CHW

  • Community Health Worker
  • Bakersfield, CA
  • NPI 1366324261
  NPD (past)
• Sandra Lizeth Hernandez, CPHT

  • Pharmacy Technician
  • Bakersfield, CA
  • NPI 1639946858
  NPD (past)
• Sarah Rae Hochhalter, RPH

  • Pharmacist
  • Bakersfield, CA
  • NPI 1235945460
  NPD (past)
• Samantha Martinez-Iniguez, PHARMD

  • Student in an Organized Health Care Education/Training Program
  • Bakersfield, CA
  • NPI 1053132852
  NPD (past)
• Jazmin Ambar Martinez, CHW

  • Community Health Worker
  • Bakersfield, CA
  • NPI 1558243402
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1891728226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 TRUXTUN AVE",
            "address_2": "#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",
            "address_2": "#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": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "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",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY43860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA438600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Komoto Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Koinonia Foster Homes Inc
• Komal Desai MD Inc
• Padmalatha Kommineni
• Sreedhar Kommineni, MD
• Komoto Pharmacy Inc.
• Kevin Komoto, PHARM.D.
• Steve Kong, RPH
• Deepa Mahesh Konnur, MPT, OCS
• Geoffrey Konye
• Gagan Kooner, MD

• Community/Retail Pharmacy in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.