NPIMap

Organization Active NPI

Theotokos, LLC

Doing business as PureCare Pharmacy

  • Community/Retail Pharmacy
  • San Diego, CA
National Provider Identifier
1326551003
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
55934 Issued in CA
Legal business name
THEOTOKOS, LLC
Doing business as
PureCare Pharmacy
Practice address
5550 Carmel Mountain Rd Ste 111
San Diego, CA 92130
Phone
(559) 280-1285
NPI assigned
Nov 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Mina Said, PHARMDNPI 1720560576
Title
Manager
Phone
(858) 925-6149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 55934 CA
Clinic Pharmacy 3336C0002X 55934 CA
Community/Retail Pharmacy 3336C0003X 55934 CA Primary
Compounding Pharmacy 3336C0004X 55934 CA
Specialty Pharmacy 3336S0011X 55934 CA

Addresses

Primary practice location

5550 Carmel Mountain Rd Ste 111
San Diego, CA 92130

Mailing address

5550 Carmel Mountain Rd Ste 111
San Diego, CA 92130-4861
Phone (858) 925-6149

Other names 1

  • PureCare Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

5550 Carmel Mountain Rd
Ste 111
San Diego, CA 92130
Phone (559) 280-1825

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1326551003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 CARMEL MOUNTAIN RD STE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304861",
            "telephone_number": "858-925-6149",
            "fax_number": "858-925-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 CARMEL MOUNTAIN RD STE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92130",
            "telephone_number": "559-280-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEOTOKOS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "SAID",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-925-6149",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "55934",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CA",
            "license": "55934",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "55934",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "55934",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "55934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PureCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 3, 2025; 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.