Organization Active NPI

Synergy Community Pharmacy LLC

  • Community/Retail Pharmacy
  • La Jolla, CA
National Provider Identifier
1336507565
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
54167 Issued in CA
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

Updated by the provider on Feb 10, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2157989OtherPK

Other names 1

  • SYNERGY COMMUNITY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.