Active NPI
Dorado Pharmacy Inc
- Long Term Care Pharmacy
- Pacoima, CA
National Provider Identifier
1962126060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- DORADO PHARMACY INC
- Practice address
- 13003 Van Nuys Blvd Ste E
Pacoima, CA 91331-8324 - Phone
- (818) 485-5554
- Fax
- (818) 485-5560
- NPI assigned
- Oct 3, 2022
- Organization subpart
- Yes
- Parent organization
- DORADO PHARMACY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Razan Darrouj
- Title
- Pic/Owner
- Phone
- (559) 719-0101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
13003 Van Nuys Blvd Ste E
Pacoima, CA 91331-8324
Mailing address
13003 Van Nuys Blvd Ste E
Pacoima, CA 91331-8324
Phone (818) 485-5554
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | doradopjharmacy@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210805001620 | CA | Part B Supplier - Pharmacy | 7315208485 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pacoima, CA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Dorado Pharmacy Inc
- Part of
- Dorado Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Pacoima, CA
- NPI 1275302739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664755200000",
"number": "1962126060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13003 VAN NUYS BLVD STE E",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913318324",
"telephone_number": "818-485-5554",
"fax_number": "818-485-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13003 VAN NUYS BLVD STE E",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913318324",
"telephone_number": "818-485-5554",
"fax_number": "818-485-5560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DORADO PHARMACY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DORADO PHARMACY INC",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-02",
"status": "A",
"authorized_official_last_name": "DARROUJ",
"authorized_official_first_name": "RAZAN",
"authorized_official_title_or_position": "PIC/OWNER",
"authorized_official_telephone_number": "559-719-0101"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "doradopjharmacy@gmail.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13003 Van Nuys Blvd Ste E",
"city": "Pacoima",
"state": "CA",
"country_code": "US",
"postal_code": "913318324",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pacoima, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.