Sagamore RX Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SAGAMORE RX INC.

Practice address

20944 Sherman Way Ste 203
Canoga Park, CA 91303-3636

Phone

(310) 467-0661

NPI assigned

Apr 29, 2021

Last updated

Nov 10, 2023By 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

Mandana Amin Nazar

Title

Owner

Phone

(310) 467-0661

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1952984882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 PASEO PRIMARIO",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023054",
            "telephone_number": "310-467-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20944 SHERMAN WAY STE 203",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033636",
            "telephone_number": "310-467-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGAMORE RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "AMIN NAZAR",
        "authorized_official_first_name": "MANDANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-467-0661"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.