Active NPI
Synergy Community Pharmacy LLC
- Community/Retail Pharmacy
- La Jolla, CA
National Provider Identifier
1336507565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 54167
- Legal business name
- SYNERGY COMMUNITY PHARMACY LLC
- Practice address
- 7820 Ivanhoe Ave
La Jolla, CA 92037-4501 - Phone
- (858) 412-3732
- Fax
- (858) 412-3185
- NPI assigned
- Feb 2, 2016
- 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
- Luis Garcia
- Title
- Member
- Phone
- (858) 412-3732
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 54167 | CA | Primary |
Addresses
Primary practice location
7820 Ivanhoe Ave
La Jolla, CA 92037-4501
Mailing address
7820 Ivanhoe Ave
La Jolla, CA 92037-4501
Phone (858) 412-3732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2157989 | Other | PK |
Other names 1
- SYNERGY COMMUNITY PHARMACY
National Provider Directory
National Provider DirectoryLocations
7820 Ivanhoe Ave
La Jolla, CA 92037
Phone (858) 412-3732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455062400000",
"number": "1336507565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7820 IVANHOE AVE",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374501",
"telephone_number": "858-412-3732",
"fax_number": "858-412-3185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7820 IVANHOE AVE",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374501",
"telephone_number": "858-412-3732",
"fax_number": "858-412-3185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY COMMUNITY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-02",
"last_updated": "2016-02-10",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "LUIS",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "858-412-3732"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "54167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2157989",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SYNERGY COMMUNITY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.