Active NPI
Felicita Pharmacy Inc
- Community/Retail Pharmacy
- Escondido, CA
National Provider Identifier
1275835332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 50423
- Legal business name
- FELICITA PHARMACY INC
- Practice address
- 625 W Citracado Pkwy Ste 106
Escondido, CA 92025-6428 - Phone
- (760) 432-8520
- Fax
- (760) 432-8585
- NPI assigned
- Nov 23, 2010
- 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
- Mr. Gisoo Samandari, BS
- Title
- Ceo
- Phone
- (760) 201-7529
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 50423 | CA | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Mail Order Pharmacy | 3336M0002X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
625 W Citracado Pkwy Ste 106
Escondido, CA 92025-6428
Mailing address
625 W Citracado Pkwy Ste 106
Escondido, CA 92025-6428
Phone (760) 432-8520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA504230 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Escondido | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221011002961 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8022484351 | Practice locations: Escondido, CA |
| O20230322001874 | CA | Part B Supplier - Pharmacy | 8022484351 | Practice locations: Escondido, CA |
| O20250709000548 | CA | DME Supplier - Medical Supply Company With Registered Pharmacist | 8022484351 | Practice locations: Escondido, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Felicita Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Escondido, CA
- NPI 1871449108
Locations
625 Citracado Pkwy
Ste 106
Escondido, CA 92025
Phone (760) 432-8520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749686400000",
"number": "1275835332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 W CITRACADO PKWY STE 106",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920256428",
"telephone_number": "760-432-8520",
"fax_number": "760-432-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 W CITRACADO PKWY STE 106",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920256428",
"telephone_number": "760-432-8520",
"fax_number": "760-432-8585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FELICITA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-23",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A",
"authorized_official_last_name": "SAMANDARI",
"authorized_official_first_name": "GISOO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-201-7529",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BS"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "50423",
"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
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA504230",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Escondido",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "625 W Citracado Pkwy Ste 106",
"city": "Escondido",
"state": "CA",
"country_code": "US",
"postal_code": "920256428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.