Active NPI
Michel Daher Corp
- Community/Retail Pharmacy
- Duarte, CA
National Provider Identifier
1942605316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MICHEL DAHER CORP
- Doing business as
- Pax Pharmacy
- Practice address
- 931 Buena Vista St
Suite 104
Duarte, CA 91010-1712 - Phone
- (626) 357-8500
- NPI assigned
- Oct 28, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michel Daher, PHARMD
- Title
- Pharmacist-in-Charge
- Phone
- (626) 357-8500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
931 Buena Vista St
Suite 104
Duarte, CA 91010-1712
Mailing address
931 Buena Vista Street #104
Duarte, CA 91010
Other names 1
- Pax Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150601002409 | CA | DME Supplier - Pharmacy | 3274854377 | Practice locations: Duarte, CA |
| O20151228000135 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 3274854377 | Practice locations: Duarte, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Michel Daher Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Duarte, CA
- NPI 1508583444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563321600000",
"number": "1942605316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 BUENA VISTA STREET #104",
"city": "DUARTE",
"state": "CA",
"postal_code": "91010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 BUENA VISTA ST",
"address_2": "SUITE 104",
"city": "DUARTE",
"state": "CA",
"postal_code": "910101712",
"telephone_number": "626-357-8500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHEL DAHER CORP",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-28",
"last_updated": "2019-07-17",
"status": "A",
"authorized_official_last_name": "DAHER",
"authorized_official_first_name": "MICHEL",
"authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
"authorized_official_telephone_number": "626-357-8500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pax Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pax Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Duarte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.