NPIMap

Organization Active NPI

Mikhail Pharmacy LLC

  • Long Term Care Pharmacy
  • Chula Vista, CA
National Provider Identifier
1205645793
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MIKHAIL PHARMACY LLC
Practice address
480 4TH Ave Ste 100
Chula Vista, CA 91910-4411
Phone
(619) 207-4959
Fax
(619) 924-8801
NPI assigned
Dec 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Noor Mikhail
Title
Ceo
Phone
(619) 905-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

480 4TH Ave Ste 100
Chula Vista, CA 91910-4411

Mailing address

480 4TH Ave Ste 100
Chula Vista, CA 91910-4411
Phone (619) 207-4959

National Provider Directory

National Provider Directory
Tax ID family
Family Pharmacy 22 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1205645793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 4TH AVE STE 100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104411",
            "telephone_number": "619-207-4959",
            "fax_number": "619-924-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 4TH AVE STE 100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104411",
            "telephone_number": "619-207-4959",
            "fax_number": "619-924-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKHAIL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "NOOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-905-7722"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.