Star Pharmacy RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY53695 Issued in CA

Legal business name

STAR PHARMACY RX INC

Doing business as

Stars Pharmacy

Practice address

830 Guadalupe St
Guadalupe, CA 93434-1316

Phone

(805) 219-0770

Fax

(805) 219-0772

NPI assigned

Oct 9, 2015

Last updated

Nov 29, 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

Sami BoraieNPI 1972192052

Title

President/Pic

Phone

(805) 720-7218

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Stars Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

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

Locations

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.

• Sami M Boraie, RPH

  • Pharmacist
  • Guadalupe, CA
  • NPI 1972192052
  NPD Authorized official
• Basem Boraie

  • Pharmacist
  • Tehachapi, CA
  • NPI 1881288546
  NPD (past)
• Duaa Hassan

  • Pharmacist
  • Guadalupe, CA
  • NPI 1265979322
  NPD (past)

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1932570447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 GUADALUPE ST",
            "city": "GUADALUPE",
            "state": "CA",
            "postal_code": "934341316",
            "telephone_number": "805-219-0770",
            "fax_number": "805-219-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 GUADALUPE ST",
            "city": "GUADALUPE",
            "state": "CA",
            "postal_code": "934341316",
            "telephone_number": "805-219-0770",
            "fax_number": "805-219-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PHARMACY RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "BORAIE",
        "authorized_official_first_name": "SAMI",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "805-720-7218"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53695",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154571",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stars Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mireya Eulalia Pina
• Christina Anne Pinto, D.O.
• Bingsheng Qiao
• Antonio Serrano, LCSW
• Social Advocates for Youth - Santa Maria, Inc. (Santa Maria Valley Youth & Family Center)
• Raquel Valerio
• Macey Wienstroer

• Community/Retail Pharmacy in Guadalupe, CA
• Providers in Guadalupe, 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 Nov 29, 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.