Individual provider Active NPI

Alan Gregory Sanford, PHARMD

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1063731495
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
41085 Issued in CA
Practice address
13167 Black Mountain Rd
San Diego, CA 92129-2684
Phone
(858) 484-2851
NPI assigned
May 25, 2010
Last updated
May 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 41085 CA Primary

Addresses

Primary practice location

13167 Black Mountain Rd
San Diego, CA 92129-2684

Mailing address

13167 Black Mountain Rd
San Diego, CA 92129-2684
Phone (858) 484-2851

Other identifiers 1

IdentifierTypeStateIssuer
41085OtherCACA PHARMACIST LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1063731495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13167 BLACK MOUNTAIN RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292684",
            "telephone_number": "858-484-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13167 BLACK MOUNTAIN RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292684",
            "telephone_number": "858-484-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "ALAN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "41085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA  PHARMACIST LICENSE #",
            "identifier": "41085",
            "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 May 25, 2010; 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.