Individual provider Active NPI

Sami M Boraie, RPH

  • Pharmacist
  • Guadalupe, CA
National Provider Identifier
1972192052
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
69985 Issued in CA
Practice address
830 Guadalupe St
Guadalupe, CA 93434-1330
Phone
(805) 219-0770
Fax
(805) 219-0772
NPI assigned
Jan 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 69985 CA Primary

Addresses

Primary practice location

830 Guadalupe St
Guadalupe, CA 93434-1330

Mailing address

237 Town Ctr W Ste 123
Santa Maria, CA 93458-5075
Phone (805) 720-7218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Pharmacy RX Inc CurrentSince Jan 17, 2021 Accepting new patients

Locations

830 Guadalupe St
Guadalupe, CA 93434
Phone (805) 219-0770

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1972192052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 TOWN CTR W STE 123",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934585075",
            "telephone_number": "805-720-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 GUADALUPE ST",
            "city": "GUADALUPE",
            "state": "CA",
            "postal_code": "934341330",
            "telephone_number": "805-219-0770",
            "fax_number": "805-219-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAIE",
        "first_name": "SAMI",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "69985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guadalupe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.