Pillco Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

26125 Issued in CA

Legal business name

PILLCO PHARMACY

Practice address

2939 Alta View Dr
Suite L
San Diego, CA 92139-3394

Phone

(619) 470-4550

Fax

(619) 470-6709

NPI assigned

Aug 9, 2005

Last updated

Aug 22, 2020By 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

Mr. William Paul Mascari, PHARM.D.

Title

Owner/Pharcist

Phone

(619) 470-4550

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073514303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 ALTA VIEW DR",
            "address_2": "SUITE L",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921393394",
            "telephone_number": "619-470-4550",
            "fax_number": "619-470-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 ALTA VIEW DR",
            "address_2": "SUITE L",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921393394",
            "telephone_number": "619-470-4550",
            "fax_number": "619-470-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILLCO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASCARI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/PHARCIST",
        "authorized_official_telephone_number": "619-470-4550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "26125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA357590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.