NPIMap

Organization Active NPI

Scripps Health

  • Pharmacy
  • San Diego, CA
National Provider Identifier
1043665425
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY54317 Issued in CA
Legal business name
SCRIPPS HEALTH
Practice address
4060 4TH Ave.
Suite 110
San Diego, CA 92103-2116
Phone
(858) 678-7111
Fax
(858) 678-6663
NPI assigned
May 4, 2016
Organization subpart
Yes
Parent organization
SCRIPPS HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Mr. Richard Rothberger
Title
Evp/Cfo
Phone
(858) 678-6828

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY54317 CA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

4060 4TH Ave.
Suite 110
San Diego, CA 92103-2116

Mailing address

10790 Rancho Bernardo Rd.
2ND FL.
San Diego, CA 92127-5705
Phone (858) 678-7111

Other identifiers 1

IdentifierTypeStateIssuer
2159844OtherPK

Other names 1

  • Scripps Health Mercy Ambulatory Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Scripps Clinic Med GRP Inc27 organizations share this tax ID, including this one
Part of
Scripps Clinic Med GRP Inc

Other organizations with this tax ID 26

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

View all 26

Locations

10790 Rancho Bernardo Rd
Fl 2
San Diego, CA 92127

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1043665425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 RANCHO BERNARDO RD.",
            "address_2": "2ND FL.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275705",
            "telephone_number": "858-678-7111",
            "fax_number": "858-678-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 4TH AVE.",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032116",
            "telephone_number": "858-678-7111",
            "fax_number": "858-678-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRIPPS HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCRIPPS HEALTH",
        "enumeration_date": "2016-05-04",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "ROTHBERGER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "858-678-6828",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY54317",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159844",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scripps Health Mercy Ambulatory Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scripps Health Mercy Ambulatory 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 Feb 19, 2020; 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.