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KOMOTO PHARMACY, INC.
NPI 1861229254
Pharmacy - Long Term Care Pharmacy in Delano, CA

Active since September 18, 2024CLIA 05D2135214 · Waiver
1017 ELLINGTON ST, DELANO, CA 93215(661) 725-9489(661) 721-2537 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Komoto Pharmacy, Inc. NPPES

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

KOMOTO PHARMACY, INC. (NPI 1861229254) is a healthcare organization registered as a long term care pharmacy in Delano, California and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through August 15, 2027 and lists Kevin Komoto, Coo, as its authorized official.

NPPES Registry Identity

NPI1861229254
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameKOMOTO PHARMACY, INC.
Location Address1017 ELLINGTON STDelano, CA 93215-2621
Mailing Address1017 Ellington StDelano, CA 93215-2621 · (661) 725-9489
Phone(661) 725-9489
Fax(661) 721-2537
Organization SubpartYes
Authorized OfficialKevin KomotoCoo · (661) 427-4612
Enumeration DateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
✔ NPI 1861229254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
1017 ELLINGTON ST, Delano, CA 93215
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2135214

Komoto Pharmacy · Delano, CA
Active · expires Aug 15, 2027
CLIA Number05D2135214
Laboratory TypePharmacy
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorPeter Vigil Pic
Laboratory Phone(661) 725-9489
Laboratory LocationKomoto Pharmacy1017 Ellington St, Delano, CA 93215
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

DR. SAMANTHA MARTINEZ-INIGUEZ PHARMD
Pharmacist
1017 ELLINGTON ST
DELANO, CA 93215
Kern County (661) 725-9489
GARRET FRANK SOARES PHARMD
Pharmacist
1017 ELLINGTON ST
DELANO, CA 93215
Kern County (661) 725-9489
BRIAN KOMOTO PHARMD
Pharmacist
1017 ELLINGTON ST
DELANO, CA 93215
Kern County (661) 706-8867
KIRK FORREST SAKAMOTO PHARM.D.
Pharmacist
1017 ELLINGTON ST
DELANO, CA 93215
Kern County (661) 725-9489
CONSUELO ROBLES CPHT
Community Health Worker
1017 ELLINGTON ST
DELANO, CA 93215
Kern County (661) 725-9489
MIRIAM GONZALEZ
Pharmacy Technician
1017 ELLINGTON ST
DELANO, CA 93215
Kern County (661) 725-9489
HEE YEONG KIM
Pharmacist
1017 ELLINGTON ST
DELANO, CA 93215
Kern County (661) 725-9489
DR. ANGELICA TRUJILLO PHARMD
Pharmacist
1017 ELLINGTON ST
DELANO, CA 93215
Kern County (661) 725-9489

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Komoto Pharmacy, Inc.'s NPI number?

The NPI number for Komoto Pharmacy, Inc. is 1861229254. It was assigned to this organization in the NPPES registry on September 18, 2024.

Where is Komoto Pharmacy, Inc. located?

Komoto Pharmacy, Inc. is located at 1017 Ellington St, Delano, CA 93215. The listed phone number is (661) 725-9489.

What is Komoto Pharmacy, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Komoto Pharmacy, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2135214) is associated with this NPI, valid through August 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Komoto Pharmacy, Inc. accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 11 other insurers list Komoto Pharmacy, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Komoto Pharmacy, Inc. was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.