El Tejon Pharmacycare, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EL TEJON PHARMACYCARE, INC

Doing business as

El Tejon Pharmacy 2

Practice address

2819 N Chester Ave
Bakersfield, CA 93308-1587

Phone

(661) 399-2901

Fax

(661) 399-2908

NPI assigned

Oct 18, 2006

Last updated

Sep 18, 2024By 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

Tina Zomorodian, RPH

Title

Pic

Phone

(661) 399-2901

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• El Tejon Pharmacy 2 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• El Tejon Healthcare Inc

  dba El Tejon Pharmacy 1

  • Community/Retail Pharmacy
  • Bakersfield, CA
  • NPI 1164503850

  8325167463

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• El Tejon Healthcare Inc

  dba El Tejon Pharmacy 1

  • Community/Retail Pharmacy
  • Bakersfield, CA
  • NPI 1164503850

  O20121029000162

  Same enrollment
• Frazier Healthcare Inc

  dba El Tejon Pharmacy 3

  • Community/Retail Pharmacy
  • Frazier Park, CA
  • NPI 1992235402

  O20121029000162

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

El Tejon Drug Co2 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.

• El Tejon Pharmacycare, Inc

  • Long Term Care Pharmacy
  • Bakersfield, CA
  • NPI 1871441014
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ty Curtis Stout, PHARMD

  • Pharmacist
  • Bakersfield, CA
  • NPI 1538476056
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1982785671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 N CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933081587",
            "telephone_number": "661-399-2901",
            "fax_number": "661-399-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 N CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933081587",
            "telephone_number": "661-399-2901",
            "fax_number": "661-399-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL TEJON PHARMACYCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "ZOMORODIAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "661-399-2901",
        "authorized_official_credential": "RPH"
    },
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOP",
            "identifier": "PHY60001",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982785671",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Tejon Pharmacy 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahamed Youssef El Azzih Mohamad, MD
• El Dorado Community Service Center (Bakersfield Health Services)
• El Tejon Healthcare Inc (El Tejon Pharmacy 1)
• El Tejon Healthcare Inc (El Tejon Pharmacy 1)
• El Tejon Pharmacycare, Inc
• Gloria H El-Oskof, DDS
• David J Elbaum, M.D.
• Kennedy Elcano
• Cathy L Elder, LCSW
• Miya Elder

• Community/Retail Pharmacy in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.