Organization Active NPI

Michel Daher Corp

  • Community/Retail Pharmacy
  • Duarte, CA
National Provider Identifier
1942605316
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Jul 17, 2019

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Corp2 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.

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.

Verify at the official NPI Registry.