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REGENTS OF THE UNIVERSITY OF CA-UCSD AMBULATORY CARE PHARMACY NPI 1407877483


NPI Information

NPI: 1407877483
Provider Name: REGENTS OF THE UNIVERSITY OF CA-UCSD AMBULATORY CARE PHARMACY

Doing Business As: UCSD MEDICAL GROUP PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
330 LEWIS ST
2ND FLR
SAN DIEGO, CA
ZIP 92103
Phone: (619) 471-9235
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REGENTS OF THE UNIVERSITY OF CA-UCSD AMBULATORY CARE PHARMACY is a pharmacy in San Diego, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. REGENTS OF THE UNIVERSITY OF CA-UCSD AMBULATORY CARE PHARMACY NPI is 1407877483. The provider is registered as an organization entity type.
The provider Is Doing Business As Ucsd Medical Group Pharmacy.

The provider's business location address is:

330 LEWIS ST
2ND FLR
SAN DIEGO, CA
ZIP 92103-108
Phone: (619) 471-9235
Fax: (619) 471-9236

The provider's authorized official is Gary Hagney .
The authorized official title is Director Ucsd Amcare Pharmacy and has the following contact phone number (619) 543-6194.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 6/10/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic PharmacyPHE37896CALIFORNIANo
23336C0003XPharmacyCommunity/Retail PharmacyPHE37896CALIFORNIANo
3333600000XPharmacyPHE37896CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10546412OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
26715070002MEDICARE NSCCALIFORNIA
3GU028BOTHERCALIFORNIAMEDICARE PART B
4PHB378960MEDICAIDCALIFORNIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.