MODEL DRUG INC (NPI# 1851631097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851631097 |
| Entity Type | Organization |
| Organization Name | MODEL DRUG INC |
| Other Organization Name | MODEL DRUG |
| Practice Address |
911 Oak Park Blvd Suite 101 Pismo Beach CA 93449-3405 |
| Mailing Address |
1506 Draper St Kingsburg CA 93631-1909 |
| Practice Telephone | 8054815111 |
| Practice Fax Number | 8054815729 |
| Mailing Telephone | 8054815111 |
| Mailing Fax Number | 8054815729 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2016-12-18 |
| Authorized Official Name | RASMIK ZAKARIAN (PRESIDENT) |
| Authorized Official Telephone | 5598975111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHY51269 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2139162 | 01 |
| Other Name | Type Code |
|---|---|
| Model Drug | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790792356 | Model Drug Inc | Pharmacy | 1506 Draper St, Kingsburg, CA 93631 | 2006-08-03 |
| Street Address |
911 OAK PARK BLVD SUITE 101 |
| City | PISMO BEACH |
| State | CA |
| Zip Code | 93449-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538605 | Amy E. Webb | Pediatrics | 911 Oak Park Blvd, Suite 107, Pismo Beach, CA 93449-3405 | 2005-06-13 |
| 1497133011 | Ken P Optometry Corp | Optometrist | 911 Oak Park Blvd, Suite 104, Pismo Beach, CA 93449-3405 | 2015-05-14 |
| 1427351535 | Brian O'carroll, D.p.m., Inc. | Podiatrist | 911 Oak Park Blvd, Ste 106, Pismo Beach, CA 93449-3406 | 2010-12-10 |
| 1558663690 | Steve Clark Dpm Inc | Podiatrist | 911 Oak Park Blvd, Ste 106, Pismo Beach, CA 93449-3406 | 2010-11-22 |
| 1679654719 | Health Quest Pharmacy Inc | Pharmacy | 911 Oak Park Blvd, #101, Pismo Beach, CA 93449 | 2006-10-17 |
| 1114952462 | Steven Jon Clark | Podiatrist | 911 Oak Park Blvd, Ste 106, Pismo Beach, CA 93449-3406 | 2006-07-12 |
| 1871527838 | Central Coast Cardiothoracic Surgical Associates-a Medical Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 911 Oak Park Blvd, Ste 102, Pismo Beach, CA 93449-3405 | 2006-07-10 |
| 1336133768 | Brian David O'carroll | Podiatrist | 911 Oak Park Blvd, Ste 106, Pismo Beach, CA 93449-3406 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831688795 | Kristyn Collins | Psychologist | 130 James Way, #150, Pismo Beach, CA 93449 | 2018-05-07 |
| 1245750140 | Judy Burke Morabito | Pedorthist | 801 Dolliver Street, Pismo Beach, CA 93449 | 2017-06-21 |
| 1295274413 | The San Luis Obispo Hearing Center, Inc | Specialist | 901 Oak Park Blvd Suite 202, Pismo Beach, CA 93449 | 2017-02-21 |
| 1649713645 | Sarah Victoria Stroemel | Counselor | 172 Stimson Ave, #3, Pismo Beach, CA 93449 | 2016-11-22 |
| 1497133631 | Byron N Collier | Podiatrist | 911 Oak Park Blvd Ste 106, Pismo Beach, CA 93449 | 2015-05-07 |
| 1982973319 | Mariana Dintyala | Nurse Practitioner | Avery Healthcare Sevices, 230 Coral Ct, Pismo Beach, CA 93449 | 2011-12-13 |
| 1538444575 | Chelsea Hunter | Student in an Organized Health Care Education/Training Program | 448 Foothill Rd, Pismo Beach, CA 93449 | 2011-10-20 |
| 1952621492 | Briana Leigh Schiro | Counselor | 314 El Portal Dr., Suite 100, Pismo Beach, CA 93449 | 2010-06-07 |
| 1134365315 | Robert Lee Hix | Licensed Psychiatric Technician | 201 Five Cities Dr., 123, Pismo Beach, CA 93449 | 2008-12-18 |
| 1689886764 | Active Physical Therapy Inc | Physical Therapist | 1851 Shell Beach Rd, Suite B, Shell Beach, CA 93449 | 2007-05-03 |
| Find all providers in zip 93449 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1972128676 | Maggie's Pharmacy Inc | Pharmacy | 2315 Kuehner Dr Ste 108, Simi Valley, CA 93063-3960 | 2020-06-09 |
| 1629604368 | Jafa Pharmaceuticals, Inc. | Pharmacy | 95 Montgomery Dr Ste 108, Santa Rosa, CA 95404-6617 | 2020-03-13 |
| 1669019113 | Shanzo Inc | Pharmacy | 6255 University Ave Ste A1, San Diego, CA 92115-5727 | 2019-12-03 |
| 1265077283 | Western Pharmacy Group LLC | Pharmacy | 610 Gateway Center Way Ste H-i, San Diego, CA 92102-4533 | 2019-11-13 |
| 1083255129 | Desert Best Pharmacy, Inc. | Pharmacy | 170 E Tahquitz Canyon Way, Palm Springs, CA 92262-6431 | 2019-09-30 |
| Find all providers with the same taxonomy | ||||
| City | PISMO BEACH |
| Zip Code | 93449 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.