CHULAVISTA PHARMACY LLC NPI 1942200902

NPI Information

  • NPI: 1942200902
  • Provider Name: CHULAVISTA PHARMACY LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • Address: 384 H ST
    CHULA VISTA, CA
    ZIP 91910
  • Phone: (619) 781-8177

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NPI Details

CHULAVISTA PHARMACY LLC is a community/retail pharmacy pharmacy in Chula Vista, 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. CHULAVISTA PHARMACY LLC NPI is 1942200902. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

384 H ST
CHULA VISTA, CA
ZIP 91910-513
Phone: (619) 781-8177
Fax: (619) 623-3435

The provider's authorized official is Elvis Atencio .
The authorized official title is Pharmacist/partner and has the following contact phone number (619) 781-8177.

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.

  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Fee covid-19 vac 14 res (HCPCS:0134A)

The enumeration date for this NPI number is 7/29/2005 and was last updated on 7/21/2025.

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
13336C0003XPharmacyCommunity/Retail PharmacyPHY55409CALIFORNIAYes

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
105-79435OTHERCALIFORNIANCPDP NUMBER
22004678OTHERPK
3PHY55409OTHERCALIFORNIACA BOARD OF PHARMACY PERMIT
41942200902OTHERCALIFORNIAMEDI-CAL PROVIDER

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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