NPIMap

Organization Active NPI

Detention'S Facility Pharmacy

  • Institutional Pharmacy
  • San Diego, CA
National Provider Identifier
1306057229
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
BD7140128 Issued in CA
Legal business name
DETENTION'S FACILITY PHARMACY
Practice address
8525 Gibbs Dr Ste 101
San Diego, CA 92123-1758
Phone
(858) 974-5977
Fax
(858) 974-5827
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bruce Leicht
Title
Administrator
Phone
(858) 974-5962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X BD7140128 CA Primary

Addresses

Primary practice location

8525 Gibbs Dr Ste 101
San Diego, CA 92123-1758

Mailing address

8525 Gibbs Dr Ste 101
San Diego, CA 92123-1758
Phone (858) 974-5977

National Provider Directory

National Provider Directory
Tax ID family
Edgemoor Geriatric Hospital101 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

8525 Gibbs Dr
Ste 101
San Diego, CA 92123
Phone (858) 974-5977

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306057229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 GIBBS DR STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231758",
            "telephone_number": "858-974-5977",
            "fax_number": "858-974-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 GIBBS DR STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231758",
            "telephone_number": "858-974-5977",
            "fax_number": "858-974-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETENTION'S FACILITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEICHT",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "858-974-5962",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "CA",
            "license": "BD7140128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.