PARADISE PHARMACY INC. NPI 1699550400

NPI Information

  • NPI: 1699550400
  • Provider Name: PARADISE PHARMACY, INC.
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: IVY PHARMACY
  • Address: 3940 4TH AVE STE 150
    SAN DIEGO, CA
    ZIP 92103
  • Phone: (619) 839-0455

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NPI Details

PARADISE PHARMACY, INC. 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. PARADISE PHARMACY, INC. NPI is 1699550400. The provider is registered as an organization entity type.
The provider Is Doing Business As Ivy Pharmacy.

The provider's business location address is:

3940 4TH AVE STE 150
SAN DIEGO, CA
ZIP 92103-193
Phone: (619) 839-0455

The provider's authorized official is Rolanfrancis Arellano Legaspi .
The authorized official title is Ceo/director and has the following contact phone number (858) 560-1911.

The enumeration date for this NPI number is 8/29/2023 and was last updated on 9/12/2023.

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
13336S0011XPharmacySpecialty PharmacyNo
2333600000XPharmacyYes

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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