SG PHARMA INC (NPI# 1457972754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457972754 |
| Entity Type | Organization |
| Organization Name | SG PHARMA INC |
| Practice Address |
5555 Business Park S Ste 230 Bakersfield CA 93309-1678 |
| Practice Telephone | 6614893500 |
| Practice Fax Number | 6614893553 |
| Mailing Telephone | 6614893500 |
| Mailing Fax Number | 6614893553 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | EBRAM TAWDROUS (CEO) |
| Authorized Official Telephone | 5592743234 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA STATE BOARD OF PHARMACY | 57475 | 01 |
| CA | DEA REGISTRATION NUMBER | FA9190632 | 01 |
| Other Name | Type Code |
|---|---|
| ACCESS SPECIALTY PHARMACY | Doing Business As Name - Organization |
| Street Address |
5555 BUSINESS PARK S STE 230 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93309-1678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760042 | Jovana Calvillo | Counselor | 5959 Truxtun Ave # 100, Bakersfield, CA 93309 | 2020-01-30 |
| 1972146090 | Lauryn A Cooper | Physician Assistant | 5060 California Ave., Suite 620, Bakersfield, CA 93309 | 2019-10-21 |
| 1164906814 | Emergency Physicians Urgent Care Inc | Clinic/Center | 212 Coffee Road, Bakersfield, CA 93309 | 2018-09-19 |
| 1497258487 | Emerald Family Medical Group Inc | Clinic/Center | 212 Coffee Rd, Bakersfield, CA 93309 | 2018-03-15 |
| 1508368069 | Outpatient Surgery Center LLC | Podiatrist | 5000 Commerce Drive, Suite 203, Bakersfield, CA 93309 | 2018-03-01 |
| 1114431012 | Milka Lara | Marriage & Family Therapist | 3628 Stockdale Hwm, Bakersfield, CA 93309 | 2017-11-30 |
| 1598275661 | Viviana Janet Rojas | Case Manager/Care Coordinator | 1521 Stockdale Hwy, Ste 150, Bakersfield, CA 93309 | 2017-10-03 |
| 1821512963 | Robert A. Spack | Family Medicine | 5129 Ming Avenue, Bakersfield, CA 93309 | 2017-07-31 |
| 1982125431 | Darlene Porter | Home Health Aide | 3900 Adair Ct, Bakersfield, CA 93309 | 2017-07-05 |
| 1700316783 | Ana Isela An | Social Worker | 5121 Stockdale Hwy # Hwym150a, Bakersfield, CA 93309 | 2017-06-13 |
| Find all providers in zip 93309 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1669936183 | New Leaf Pharmacy Inc | Pharmacy | 2303 S Union Ave Unit E8, Bakersfield, CA 93307 | 2019-01-29 |
| 1376054411 | New Leaf Pharmacy Inc | Pharmacy | 4433 Ming Ave, Bakersfield, CA 93309-4817 | 2017-10-16 |
| 1972030732 | Optimal Health Pharmacy | Pharmacy | 700 Airport Dr, Unit C, Bakersfield, CA 93308-4130 | 2017-05-11 |
| 1508300765 | Physicians' Plaza Pharmacy, Inc. | Pharmacy | 5000 Physicians Blvd Ste 201, Bakersfield, CA 93301-5836 | 2016-12-07 |
| 1568859932 | Carepharm Pharmacy | Pharmacy | 4700 Panama Ln Unit 116, Bakersfield, CA 93313 | 2015-04-23 |
| 1740687029 | Rxbiz Pharmacy Inc | Pharmacy | 2528 Chester Ave, Bakersfield, CA 93301-2013 | 2014-12-02 |
| 1295089175 | Sri Raj Inc. | Pharmacy | 3409 Calloway Dr Unit 602, Bakersfield, CA 93312-2534 | 2012-10-31 |
| 1811256548 | Zoha's Pharmacy | Pharmacy | 5458 California Avenue, Bakersfield, CA 93309 | 2012-05-15 |
| 1376874867 | Walmart Inc. | Pharmacy | 5075 Gosford Rd, Bakersfield, CA 93313-4993 | 2010-01-22 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93309 |
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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.