SHARP GROSSMONT HOSPITAL PHARMACY NPI 1245363670

NPI Information

NPI: 1245363670
Provider Name: SHARP GROSSMONT HOSPITAL PHARMACY
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 05D2145200

Address:
5555 GROSSMONT CENTER DR
LA MESA, CA
ZIP 91942
Phone: (619) 740-4458
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SHARP GROSSMONT HOSPITAL PHARMACY is a critical access general acute care hospital in La Mesa, CA. SHARP GROSSMONT HOSPITAL PHARMACY NPI is 1245363670. The provider is registered as an organization entity type.

The provider's business location address is:

5555 GROSSMONT CENTER DR
LA MESA, CA
ZIP 91942-019
Phone: (619) 740-4458
Fax: (619) 740-4887

The provider's authorized official is Patrick Craychee .
The authorized official title is Pharmacy Director and has the following contact phone number (619) 740-4458.

The CLIA number assigned to this NPI record is 05D2145200 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	HSP 37455	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HSP37455	OTHER	CALIFORNIA	LICENSE NUMBER
2	0564179	OTHER	CALIFORNIA	NABP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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