Alvarado Medical Plaza Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY38199 Issued in CA

Legal business name

ALVARADO MEDICAL PLAZA PHARMACY

Doing business as

Alvarado Medical Plaza Pharmacy

Practice address

5555 Reservoir Dr Ste 114
San Diego, CA 92120-5197

Phone

(619) 287-5035

Fax

(619) 287-5098

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Bill Burdine, BS

Title

Owner

Phone

(619) 287-5035

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Alvarado Medical Plaza Pharmacy Doing business as

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1225082472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR STE 114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205197",
            "telephone_number": "619-287-5035",
            "fax_number": "619-287-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR STE 114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205197",
            "telephone_number": "619-287-5035",
            "fax_number": "619-287-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVARADO MEDICAL PLAZA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "BURDINE",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-287-5035",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY38199",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2115610",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA3204424",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alvarado Medical Plaza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Areana Alvarado Hooker
• Alvarado Hospital, LLC (Alvarado Hospital)
• Alvarado Hospital, LLC (Alvarado Hospital)
• Alvarado Hospital, LLC
• Alvarado Medical Group,Inc
• Alvarado Orthopedic Medical Group, Inc.
• Alvarado Pathology Associates, a Medical Corporation
• Alvarado Pharmacy SD (alvarado pharmacy)
• Alvarado Pharmacy Services, Inc (Alvarado Pharmacy Services)
• Alvarado Physicians Medical Group

• Community/Retail Pharmacy in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.