Organization Active NPI

Eldahmy Wellness Pharmacy Inc.

  • Long Term Care Pharmacy
  • San Diego, CA
National Provider Identifier
1003374554
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ELDAHMY WELLNESS PHARMACY INC.
Practice address
1985 National Ave
San Diego, CA 92113-2154
Phone
(619) 331-1111
Fax
(619) 331-1122
NPI assigned
Mar 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ahmed Eldahmy, PHARMDNPI 1437665288
Title
Pic
Phone
(619) 869-5895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1985 National Ave
San Diego, CA 92113-2154

Mailing address

1985 National Ave Ste 1103
San Diego, CA 92113-2155
Phone (619) 331-1111

Other identifiers 1

IdentifierTypeStateIssuer
11841339834MedicaidCA

National Provider Directory

National Provider Directory

Locations

1985 National Ave
Ste 1103
San Diego, CA 92113
Phone (619) 331-1111

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1003374554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 NATIONAL AVE STE 1103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921132155",
            "telephone_number": "619-331-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 NATIONAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921132154",
            "telephone_number": "619-331-1111",
            "fax_number": "619-331-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDAHMY WELLNESS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "ELDAHMY",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "619-869-5895",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11841339834",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.