Provider Demographics
NPI:1053080713
Name:RUMI PHARMACY INC.
Entity Type:Organization
Organization Name:RUMI PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAVEH
Authorized Official - Middle Name:RESIS
Authorized Official - Last Name:SAMADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-457-2246
Mailing Address - Street 1:23162 LOS ALISOS BLVD
Mailing Address - Street 2:102A
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-7869
Mailing Address - Country:US
Mailing Address - Phone:949-457-2246
Mailing Address - Fax:949-457-2247
Practice Address - Street 1:23162 LOS ALISOS BLVD
Practice Address - Street 2:SUITE 102A
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-7869
Practice Address - Country:US
Practice Address - Phone:949-457-2246
Practice Address - Fax:949-457-2247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy