Active NPI
Frazier Healthcare Inc
Doing business as El Tejon Pharmacy 3
- 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
- Doing business as
- El Tejon Pharmacy 3
- Practice address
- 3544 Mount Pinos Way
Frazier Park, CA 93225 - Phone
- (661) 245-1660
- Fax
- (661) 245-1664
- NPI assigned
- Jun 16, 2017
- Last updated
- Sep 18, 2024
- 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 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.
-
dba El Tejon Pharmacy 1
- Community/Retail Pharmacy
- Bakersfield, CA
- NPI 1164503850
O20121029000162
-
dba El Tejon Pharmacy 2
- Community/Retail Pharmacy
- Bakersfield, CA
- NPI 1982785671
O20121029000162
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": [],
"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.