Organization Active NPI

De Anza View Pharmacy Inc

  • Community/Retail Pharmacy
  • San Diego, CA
National Provider Identifier
1356570170
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY53915 Issued in CA
Legal business name
DE ANZA VIEW PHARMACY INC
Practice address
7655 Clairemont Mesa Blvd Ste 306
San Diego, CA 92111-1517
Phone
(858) 268-1660
Fax
(858) 268-1661
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Shun Kim
Title
President and Owner
Phone
(858) 268-1660

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY53915 CA Primary

Addresses

Primary practice location

7655 Clairemont Mesa Blvd Ste 306
San Diego, CA 92111-1517

Mailing address

7655 Clairemont Mesa Blvd
#306
San Diego, CA 92111-1512
Phone (858) 268-1660

Other identifiers 2

IdentifierTypeStateIssuer
2121120OtherPK
1356570170MedicaidCA

Other names 1

  • Good Morning Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4898 Convoy St
Ste 102
San Diego, CA 92111
Phone (858) 268-1660

7655 Clairemont Mesa Blvd
Ste 306
San Diego, CA 92111
Phone (858) 268-1660

Practitioners & affiliated clinicians

Practitioners 3

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": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1356570170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 CLAIREMONT MESA BLVD",
            "address_2": "#306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111512",
            "telephone_number": "858-268-1660",
            "fax_number": "858-268-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 CLAIREMONT MESA BLVD STE 306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111517",
            "telephone_number": "858-268-1660",
            "fax_number": "858-268-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE ANZA VIEW PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SHUN",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "858-268-1660"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121120",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356570170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Morning 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 Jan 28, 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.