Organization Active NPI

Allermed Pharmacy

  • Specialty Pharmacy
  • San Diego, CA
National Provider Identifier
1184998080
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PHY50592 Issued in CA
Legal business name
ALLERMED PHARMACY
Practice address
7203 Convoy CT
San Diego, CA 92111-1020
Phone
(858) 292-1060
Fax
(858) 292-5934
NPI assigned
Feb 24, 2012
Last updated
Feb 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Authorized official

Name
Mr. Stewart H. Nielsen, PHD
Title
President
Phone
(858) 292-1060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X PHY50592 CA Primary

Addresses

Primary practice location

7203 Convoy CT
San Diego, CA 92111-1020

Mailing address

7203 Convoy CT
San Diego, CA 92111-1020
Phone (858) 292-1060

National Provider Directory

National Provider Directory

Locations

7203 Convoy Ct
San Diego, CA 92111
Phone (858) 292-1060

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1184998080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7203 CONVOY CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111020",
            "telephone_number": "858-292-1060",
            "fax_number": "858-292-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7203 CONVOY CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111020",
            "telephone_number": "858-292-1060",
            "fax_number": "858-292-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERMED PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-292-1060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "PHY50592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.