NPIMap

Individual provider Active NPI

Douglas D Farolan

  • Pharmacist
  • Bakersfield, CA
National Provider Identifier
1972896371
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH 32291 Issued in CA
Practice address
6716 Savannah Falls Dr
Bakersfield, CA 93312-1878
Phone
(661) 213-4285
NPI assigned
May 18, 2011
Last updated
May 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH 32291 CA Primary

Addresses

Primary practice location

6716 Savannah Falls Dr
Bakersfield, CA 93312-1878

Mailing address

6716 Savannah Falls Dr
Bakersfield, CA 93312
Phone (661) 213-4285

Other names 1

  • Douglas Dezaballarph Former name

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

State licenses

LicenseStateTypeSpecialty
RPH 32291CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1972896371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 SAVANNAH FALLS DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93312",
            "telephone_number": "661-213-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 SAVANNAH FALLS DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933121878",
            "telephone_number": "661-213-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROLAN",
        "first_name": "DOUGLAS",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 32291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "DEZABALLARPH",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.