Healthcare Provider Details

I. General information

NPI: 1285598847
Provider Name (Legal Business Name): DRACARYS HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 W 7TH ST
OXNARD CA
93030-6755
US

IV. Provider business mailing address

901 W 7TH ST
OXNARD CA
93030-6755
US

V. Phone/Fax

Practice location:
  • Phone: 805-486-2688
  • Fax:
Mailing address:
  • Phone: 805-486-2688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JESSE MILES
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 805-206-4524