Sunnyside Pediatric Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SUNNYSIDE PEDIATRIC PHARMACY

Doing business as

Sunnyside Pharmacy

Practice address

13310 Leopard St Ste 28
Corpus Christi, TX 78410-4486

Phone

(361) 248-4232

Fax

(361) 248-4126

NPI assigned

Aug 19, 2021

Last updated

Sep 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jehu Tomas GraciaNPI 1407425937

Title

Pharmacist in Charge

Phone

(361) 806-9100

Specialties & licenses 1

Addresses

Other names 1

• Sunnyside Pharmacy Doing business as

Tax ID family

Sunnyside Pediatric Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Sunnyside Pediatric Pharmacy

  dba Sunnyside Pharmacy

  • Community/Retail Pharmacy
  • Corpus Christi, TX
  • NPI 1265004394
  NPD tax ID
• Sunnyside Pediatris Pharmacy

  • Community/Retail Pharmacy
  • Kingsville, TX
  • NPI 1720847767
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jehu Tomas Gracia, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Corpus Christi, TX
  • NPI 1407425937
  Authorized official Same address or phone

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1073289096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13310 LEOPARD ST STE 28",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104486",
            "telephone_number": "361-248-4232",
            "fax_number": "361-248-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13310 LEOPARD ST STE 28",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104486",
            "telephone_number": "361-248-4232",
            "fax_number": "361-248-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE PEDIATRIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "GRACIA",
        "authorized_official_first_name": "JEHU",
        "authorized_official_middle_name": "TOMAS",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "361-806-9100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnyside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunnyside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sun City Pulmonary Critical Care
• Sun Orthodontix of East Corpus Christi, PLLC (Sun Orthodontix)
• Suncity Hospitalist Group PLLC
• Richard Sung, DMD
• Sunils Hospitalists of Corpus Christi
• Sunnyside Pediatric Pharmacy (Sunnyside Pharmacy)
• Sunnyside Pediatrics PLLC
• Sunrise Mall Dental Center, P.L.L.C.
• Sunrise Mall F.D.C., P.a.
• Sunrise Pharmacy, Inc

• Community/Retail Pharmacy in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.