Active NPI
Neil Richard Hirschorn, R.PH.
- Pharmacist
- La Mesa, CA
National Provider Identifier
1083855019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 38072
- Practice address
- 3875 Avocado Blvd
La Mesa, CA 91941-7303 - Phone
- (619) 670-2050
- Fax
- (619) 670-2119
- NPI assigned
- Mar 21, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 38072 | CA | Primary |
| Pharmacist | 183500000X | 113402 | MN |
Addresses
Primary practice location
3875 Avocado Blvd
La Mesa, CA 91941-7303
Mailing address
11267 Alejo LN
San Diego, CA 92124-1522
Phone (858) 627-9951
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 38072 | CA | MD | Pharmacist |
| 113402 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237593600000",
"number": "1083855019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11267 ALEJO LN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921241522",
"telephone_number": "858-627-9951",
"fax_number": "858-627-9941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3875 AVOCADO BLVD",
"city": "LA MESA",
"state": "CA",
"postal_code": "919417303",
"telephone_number": "619-670-2050",
"fax_number": "619-670-2119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSCHORN",
"first_name": "NEIL",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-21",
"last_updated": "2009-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 38072",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "113402",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.