Active NPI
Western Pharmacy Group LLC
- Long Term Care Pharmacy
- San Diego, CA
National Provider Identifier
1265077283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- WESTERN PHARMACY GROUP LLC
- Practice address
- 610 Gateway Center Way Ste H-I
San Diego, CA 92102-4533 - Phone
- (360) 685-4263
- NPI assigned
- Nov 13, 2019
- Organization subpart
- Yes
- Parent organization
- WESTERN PHARMACY GROUP LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Faris, RPH
- Title
- Ceo
- Phone
- (360) 685-4282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
610 Gateway Center Way Ste H-I
San Diego, CA 92102-4533
Mailing address
851 Coho Way Ste 312
Bellingham, WA 98225-2066
Phone (360) 685-4263
Other names 1
- Medical Center Pharmacy LTC
National Provider Directory
National Provider Directory- Part of
- Western Pharmacy Group LLC
Locations
610 Gateway Center Way
Ste Hi
San Diego, CA 92102
Phone (619) 422-0525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573603200000",
"number": "1265077283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 COHO WAY STE 312",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982252066",
"telephone_number": "360-685-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 GATEWAY CENTER WAY STE H-I",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921024533",
"telephone_number": "360-685-4263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN PHARMACY GROUP LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WESTERN PHARMACY GROUP LLC",
"enumeration_date": "2019-11-13",
"last_updated": "2019-11-13",
"status": "A",
"authorized_official_last_name": "FARIS",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "360-685-4282",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Center Pharmacy LTC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}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 Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.