Active NPI
Mercury Health, Inc
- Community/Retail Pharmacy
- National City, CA
National Provider Identifier
1134559172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 51620
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.