Organization Active NPI

SD Healthcare RX Inc

Doing business as Childrens Community Pharmacy

  • Specialty Pharmacy
  • San Diego, CA
National Provider Identifier
1013731264
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
SD HEALTHCARE RX INC
Doing business as
Childrens Community Pharmacy
Practice address
3030 Childrens Way Ste 108
San Diego, CA 92123-4226
Phone
(858) 313-0200
Fax
(858) 313-0202
NPI assigned
Nov 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Nixit D Vaddoriya
Title
President/Ceo
Phone
(858) 313-0200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

3030 Childrens Way Ste 108
San Diego, CA 92123-4226

Mailing address

3030 Childrens Way Ste 108
San Diego, CA 92123-4226
Phone (858) 313-0200

Other identifiers 1

IdentifierTypeStateIssuer
PHY60502OtherCABOARD OF PHARMACY

Other names 1

  • CHILDRENS COMMUNITY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Childrens Community Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1013731264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 CHILDRENS WAY STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234226",
            "telephone_number": "858-313-0200",
            "fax_number": "858-313-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 CHILDRENS WAY STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234226",
            "telephone_number": "858-313-0200",
            "fax_number": "858-313-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD HEALTHCARE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "VADDORIYA",
        "authorized_official_first_name": "NIXIT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "858-313-0200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY60502",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHILDRENS COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHILDRENS COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 22, 2025; 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.