Organization Active NPI

Mercury Health, Inc

  • Community/Retail Pharmacy
  • National City, CA
National Provider Identifier
1134559172
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
51620 Issued in CA
Legal business name
MERCURY HEALTH, INC
Practice address
1420 E Plaza Blvd
Ste B-3
National City, CA 91950-3636
Phone
(619) 565-9707
NPI assigned
Nov 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Mr. Nabil Tawfik Ibrahim Khalil, RPH
Title
Owner/ President
Phone
(619) 565-9707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 51620 CA Primary

Addresses

Primary practice location

1420 E Plaza Blvd
Ste B-3
National City, CA 91950-3636

Mailing address

1420 E Plaza Blvd
Ste B-3
National City, CA 91950-3636
Phone (619) 565-9707

Other names 1

  • Mercury Pharmacy Other name

National Provider Directory

National Provider Directory

Locations

1420 E Plaza Blvd
Ste B3
National City, CA 91950
Phone (619) 565-9707

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1134559172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E PLAZA BLVD",
            "address_2": "STE B-3",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503636",
            "telephone_number": "619-565-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E PLAZA BLVD",
            "address_2": "STE B-3",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503636",
            "telephone_number": "619-565-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "TAWFIK IBRAHIM",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "619-565-9707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercury Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.