Organization Active NPI

Richmond Pharmacy, Inc.

  • Community/Retail Pharmacy
  • San Diego, CA
National Provider Identifier
1376318345
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RICHMOND PHARMACY, INC.
Practice address
5555 Reservoir Dr Ste 114
San Diego, CA 92120-5197
Phone
(619) 996-0619
Fax
(619) 877-0110
NPI assigned
Nov 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Gregory Rovner
Title
Ceo and Director
Phone
(619) 996-0619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5555 Reservoir Dr Ste 114
San Diego, CA 92120-5197

Mailing address

5555 Reservoir Dr Ste 114
San Diego, CA 92120-5197
Phone (619) 996-0619

Other identifiers 1

IdentifierTypeStateIssuer
PHY61503OtherCAPHARMACY

National Provider Directory

National Provider Directory
Tax ID family
Alvarado Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5555 Reservoir Dr
Ste 114
San Diego, CA 92120
Phone (619) 287-5035

Practitioners & affiliated clinicians

Practitioners 1

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": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1376318345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR STE 114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205197",
            "telephone_number": "619-996-0619",
            "fax_number": "619-877-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR STE 114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205197",
            "telephone_number": "619-996-0619",
            "fax_number": "619-877-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "ROVNER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO AND DIRECTOR",
        "authorized_official_telephone_number": "619-996-0619"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "PHY61503",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 23, 2026; 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.