Individual provider Active NPI

Andrew Shorez

  • Pharmacist
  • Santee, CA
National Provider Identifier
1376325910
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
88790 Issued in CA
Practice address
9836 N Magnolia Ave
Santee, CA 92071-1901
Phone
(619) 777-1000
NPI assigned
Oct 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 88790 CA Primary

Addresses

Primary practice location

9836 N Magnolia Ave
Santee, CA 92071-1901

Mailing address

1710 Enzobe LN
El Cajon, CA 92020-8202
Phone (619) 922-5007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
88790CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Santee Community Pharmacy, Inc. CurrentSince Oct 22, 2023 Accepting new patients

Locations

9836 N Magnolia Ave
Santee, CA 92071
Phone (619) 777-1000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1376325910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 ENZOBE LN",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920208202",
            "telephone_number": "619-922-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9836 N MAGNOLIA AVE",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920711901",
            "telephone_number": "619-777-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOREZ",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "88790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.