IMPERIAL BEACH PHARMACY LLC NPI 1326652371

NPI Details

IMPERIAL BEACH PHARMACY LLC is a community/retail pharmacy pharmacy in San Diego, CA. The provider is 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. IMPERIAL BEACH PHARMACY LLC NPI is 1326652371. The provider is registered as an organization entity type.

The provider's business location address is:

1530 PALM AVE
SAN DIEGO, CA
ZIP 92154-016
Phone: (619) 343-0095
Fax: (619) 830-4590

The provider's authorized official is Prashant Amrutlal Koyani .
The authorized official title is Member and has the following contact phone number (619) 343-0095.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home (HCPCS:M0201)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 9/6/2020 and was last updated on 2/8/2024.

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: