NPIMap

Organization Active NPI

Tychan Inc.

Doing business as Fletcher Med Pharmacy

  • Community/Retail Pharmacy
  • La Mesa, CA
National Provider Identifier
1427259118
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY44780 Issued in CA
Legal business name
TYCHAN INC.
Doing business as
Fletcher Med Pharmacy
Practice address
8881 Fletcher Pkwy
Suite 103
La Mesa, CA 91942-3134
Phone
(619) 463-7770
Fax
(619) 463-8086
NPI assigned
May 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
La Shara Smith, PHD
Title
President
Phone
(619) 463-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY44780 CA Primary

Addresses

Primary practice location

8881 Fletcher Pkwy
Suite 103
La Mesa, CA 91942-3134

Mailing address

8881 Fletcher Pkwy
Suite 103
La Mesa, CA 91942-3134
Phone (619) 463-7770

Other names 1

  • Fletcher Med Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427259118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "address_2": "SUITE 103",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423134",
            "telephone_number": "619-463-7770",
            "fax_number": "619-463-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY",
            "address_2": "SUITE 103",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423134",
            "telephone_number": "619-463-7770",
            "fax_number": "619-463-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYCHAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LA SHARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-463-7770",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY44780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fletcher Med Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.