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PASEO RX INC NPI 1093702763


NPI Information

NPI: 1093702763
Provider Name: PASEO RX INC

Doing Business As: ARARAT PHARMACY

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

CLIA Number: 05D2155184

Address:
1717 E WALNUT ST
PASADENA, CA
ZIP 91106
Phone: (626) 798-6789
Get Directions

PASEO RX INC is a specialty pharmacy pharmacy in Pasadena, CA. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. PASEO RX INC NPI is 1093702763. The provider is registered as an organization entity type.
The provider Is Doing Business As Ararat Pharmacy.

The provider's business location address is:

1717 E WALNUT ST
PASADENA, CA
ZIP 91106-611
Phone: (626) 798-6789
Fax: (626) 798-8376

The provider's authorized official is Daniel Feng .
The authorized official title is Owner/pic and has the following contact phone number (626) 798-6789.

The CLIA number assigned to this NPI record is 05D2155184 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2005 and was last updated on 3/1/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
53336S0011XPharmacySpecialty Pharmacy54471CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16392700001MEDICARE NSC
21093702763MEDICAIDCALIFORNIA
32121732OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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