Disco Rex Pharmacy Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PHY33116 Issued in CA

Legal business name

DISCO REX PHARMACY INC

Doing business as

Disco Rex Pharmacy

Practice address

328 University Ave
Palo Alto, CA 94301-1715

Phone

(650) 326-3873

Fax

(650) 326-0403

NPI assigned

Sep 12, 2006

Last updated

Oct 9, 2007By 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

Yu Fun Thomas Lai

Title

President

Phone

(650) 326-3873

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• DISCO REX PHARMACY Doing business as

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1942304993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 UNIVERSITY AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 UNIVERSITY AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011715",
            "telephone_number": "650-326-3873",
            "fax_number": "650-326-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCO REX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "YU FUN THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-326-3873"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY33116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0540357",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0540357",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA331160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DISCO REX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohamed Diop
• Christina Diorio, PSYD
• Ana Dirago, PH.D.
• Frederick M Dirbas, MD
• Mindy Penzias Dirks, PH.D.
• Discoscript Inc (Maximart Pharmacy)
• Anne Ditiberio, LCSW, PPSC
• Kelly Ditrapani, NP
• Elisabeth Jenefer Diver, M.D.
• Jean Marie Dixen, PHD

• Compounding Pharmacy in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Compounding Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.