Active NPI
Frazier Healthcare Inc
- Community/Retail Pharmacy
- Frazier Park, CA
National Provider Identifier
1992235402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FRAZIER HEALTHCARE INC
- Practice address
- 3544 Mount Pinos Way
Frazier Park, CA 93225 - Phone
- (661) 245-1660
- Fax
- (661) 245-1664
- NPI assigned
- Jun 16, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sachin Brahmbhatt, RPH
- Title
- Pic
- Phone
- (661) 245-1660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3544 Mount Pinos Way
Frazier Park, CA 93225
Mailing address
PO Box 9008
Bakersfield, CA 93389-9008
Phone (661) 245-1660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992235402 | Medicaid | CA |
Other names 1
- El Tejon Pharmacy 3
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121029000162 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8325167463 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bakersfield, CA; Frazier Park, 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 DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726617600000",
"number": "1992235402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9008",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933899008",
"telephone_number": "661-245-1660",
"fax_number": "661-245-1664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3544 MOUNT PINOS WAY",
"city": "FRAZIER PARK",
"state": "CA",
"postal_code": "93225",
"telephone_number": "661-245-1660",
"fax_number": "661-245-1664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRAZIER HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-16",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A",
"authorized_official_last_name": "BRAHMBHATT",
"authorized_official_first_name": "SACHIN",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "661-245-1660",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992235402",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "El Tejon Pharmacy 3",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Frazier Park, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.