Active NPI
Target
- Community/Retail Pharmacy
- Vista, CA
National Provider Identifier
1215306642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 73562
- Legal business name
- TARGET
- Practice address
- 3150 Business Park Dr
Vista, CA 92081-8520 - Phone
- (760) 208-6111
- NPI assigned
- Sep 15, 2015
- 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
- Irina Grekova
- Title
- Registered Pharmacist
- Phone
- (323) 854-7646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 73562 | CA | Primary |
Addresses
Primary practice location
3150 Business Park Dr
Vista, CA 92081-8520
Mailing address
3631 Gleneagles Dr
Tarzana, CA 91356-5620
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442275200000",
"number": "1215306642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3631 GLENEAGLES DR",
"city": "TARZANA",
"state": "CA",
"postal_code": "913565620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 BUSINESS PARK DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920818520",
"telephone_number": "760-208-6111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARGET",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-15",
"last_updated": "2015-09-15",
"status": "A",
"authorized_official_last_name": "GREKOVA",
"authorized_official_first_name": "IRINA",
"authorized_official_title_or_position": "REGISTERED PHARMACIST",
"authorized_official_telephone_number": "323-854-7646"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "73562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.