Organization Active NPI

Felicita Pharmacy Inc

  • Community/Retail Pharmacy
  • Escondido, CA
National Provider Identifier
1275835332
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50423 Issued in CA
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

Updated by the provider on Jun 12, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHA504230MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Escondido Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 Inc2 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.

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.

Verify at the official NPI Registry.