BASSO PHARMACY, INC.
NPI 1629694997
Pharmacy - Community/Retail Pharmacy in Fillmore, CA

Q: What is Basso Pharmacy, Inc.'s NPI number?

The NPI number for Basso Pharmacy, Inc. is 1629694997. It was assigned to this organization in the NPPES registry on June 22, 2020. The provider is doing business as Gold Coast Pharmacy.

Q: What is Basso Pharmacy, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since June 22, 2020

552 SESPE AVE, FILLMORE, CA 93015(805) 242-4575(805) 242-4505 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Basso Pharmacy, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BASSO PHARMACY, INC. (NPI 1629694997), doing business as Gold Coast Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Fillmore, California and active in the NPI registry since June 2020. The organization lists Alireza Alibanaei, President/pic, as its authorized official.

NPPES Registry Identity

NPI1629694997

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameBASSO PHARMACY, INC.

Location Address552 SESPE AVEFillmore, CA 93015-1957

Mailing Address552 Sespe AveFillmore, CA 93015-1957 · (805) 242-4575 · Fax (805) 242-4505

Phone(805) 242-4575

Fax(805) 242-4505

Organization SubpartNo

Authorized OfficialAlireza AlibanaeiPresident/pic · (805) 242-4575

Enumeration DateJune 22, 2020

NPPES CertifiedJune 22, 2020

✔ NPI 1629694997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

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.

552 SESPE AVE, Fillmore, CA 93015

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Other Names 1

Doing Business AsGold Coast Pharmacy

Other Identifiers 1

Other57740CA · Board Of Pharmacy Permit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Basso Pharmacy, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20140318001129Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

12 services12 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

11 services11 patients

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANYSSA CABRAL WRIGHT DPT

Physical Therapist