Provider Demographics
NPI:1427069004
Name:SOMANI CORPORATION
Entity type:Organization
Organization Name:SOMANI CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:MANISH
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-854-5738
Mailing Address - Street 1:505 BEAR MOUNTAIN BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:ARVIN
Mailing Address - State:CA
Mailing Address - Zip Code:93203-1453
Mailing Address - Country:US
Mailing Address - Phone:661-854-5738
Mailing Address - Fax:661-854-1678
Practice Address - Street 1:505 BEAR MOUNTAIN BLVD
Practice Address - Street 2:STE B
Practice Address - City:ARVIN
Practice Address - State:CA
Practice Address - Zip Code:93203-1453
Practice Address - Country:US
Practice Address - Phone:661-854-5738
Practice Address - Fax:661-854-1678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
CAPHY450773336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA450770Medicaid
2028492OtherPK
4151980001Medicare NSC