Active NPI
De Anza View Pharmacy Inc
- Community/Retail Pharmacy
- San Diego, CA
National Provider Identifier
1356570170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY53915
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2121120 | Other | PK | |
| 1356570170 | Medicaid | CA |
Other names 1
- Good Morning Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ambulatory Care Pharmacist
- San Diego, CA
- NPI 1548708555
-
- Pharmacist
- Santee, CA
- NPI 1033566823
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- San Diego, CA
- NPI 1558715771
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.