Individual provider Active NPI

Neil Richard Hirschorn, R.PH.

  • Pharmacist
  • La Mesa, CA
National Provider Identifier
1083855019
Registry record updated Mar 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH 38072 Issued in CA
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

Updated by the provider on Mar 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RPH 38072CAMDPharmacist
113402MNMDPharmacist

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.

Verify at the official NPI Registry.