Organization Active NPI

Sharp Healthcare

Doing business as Sharp Rees Stealy Pharmacy

  • Community/Retail Pharmacy
  • La Mesa, CA
National Provider Identifier
1013953801
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY43228 Issued in CA
Legal business name
SHARP HEALTHCARE
Doing business as
Sharp Rees Stealy Pharmacy
Sharp Rees-Stealy Pharmacy #5
Practice address
5525 Grossmont Center Dr
La Mesa, CA 91942-3009
Phone
(619) 644-6650
Fax
(619) 644-1205
NPI assigned
Jun 21, 2006
Organization subpart
Yes
Parent organization
SHARP HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Stacey Hrountas
Title
Ceo Sharp Rees-Stealy
Phone
(858) 262-6003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY43228 CA Primary

Addresses

Primary practice location

5525 Grossmont Center Dr
La Mesa, CA 91942-3009

Mailing address

PO Box 122166
Chula Vista, CA 91912-6866

Other identifiers 3

IdentifierTypeStateIssuer
FLU011DOtherCAMEDICARE
PHA432280MedicaidCA
1990836OtherPK

Other names 2

  • SHARP REES STEALY PHARMACY Doing business as
  • Sharp Rees-Stealy Pharmacy #5 Doing business as

National Provider Directory

National Provider Directory
Part of
Sharp Rees Stealy Pharm

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1013953801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122166",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919126866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 GROSSMONT CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423009",
            "telephone_number": "619-644-6650",
            "fax_number": "619-644-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHARP HEALTHCARE",
        "enumeration_date": "2006-06-21",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "HROUNTAS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CEO SHARP REES-STEALY",
        "authorized_official_telephone_number": "858-262-6003"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY43228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "FLU011D",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA432280",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1990836",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHARP REES STEALY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sharp Rees-Stealy Pharmacy #5",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.