PARK MEDICAL PHARMACY NPI 1508970849

NPI Information

  • NPI: 1508970849
  • Provider Name: PARK MEDICAL PHARMACY
  • Classification: Pharmacist - 183500000X
  • Entity Type: Organization
  • Doing Business As: MEDICAL CENTER PHARMACY
  • Address: 855 3RD AVE
    STE 1102
    CHULA VISTA, CA
    ZIP 91911
  • Phone: (619) 585-0665

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NPI Details

PARK MEDICAL PHARMACY is a pharmacist in Chula Vista, CA. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. PARK MEDICAL PHARMACY NPI is 1508970849. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Center Pharmacy.

The provider's business location address is:

855 3RD AVE
STE 1102
CHULA VISTA, CA
ZIP 91911
Phone: (619) 585-0665
Fax: (619) 585-0591

The provider's authorized official is George Awad .
The authorized official title is Owner and has the following contact phone number (619) 262-4373.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 3/7/2023.

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
1183500000XPharmacistPHY 44794CALIFORNIANo
2183500000XPharmacistRPH42751CALIFORNIAYes

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
1PHA447940MEDICAIDCALIFORNIA
2PHY44794OTHERCALIFORNIAPHARMACY LICENSE

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: 11/21/2025

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