MCP/Svdpv LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MCP/SVDPV LLC

Practice address

16 15TH Street
San Diego, CA 92101

Phone

(619) 323-2878

Fax

(619) 310-9323

NPI assigned

Sep 13, 2019

Organization subpart

No

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

Authorized official

Name

Kevin Faris, RPH

Title

Ceo

Phone

(360) 220-4818

Specialties & licenses 1

Addresses

Other names 1

• Medical Center Pharmacy at Father Joes Villages Doing business as

Locations

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1033769880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 COHO WAY STE 312",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252066",
            "telephone_number": "360-685-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 15TH STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92101",
            "telephone_number": "619-323-2878",
            "fax_number": "619-310-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCP/SVDPV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "FARIS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-220-4818",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Pharmacy at Father Joes Villages",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colleen Marie McNish, RBT
• Morgan McNulty
• Nora Elizabeth McNulty
• Bryan R McNutt, PH.D, LMFT
• Jill McNutt, MS, RDN
• Meghan Mary McPartland
• Lynna McPhatter III
• Monica Leann McPherrin
• Alyssa Michelle McPherson, IBCLC
• Julia McPherson, MD

• Community/Retail Pharmacy in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.