Organization Active NPI

Trinity Way Pharmacy, Inc.

  • Community/Retail Pharmacy
  • San Diego, CA
National Provider Identifier
1427484005
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
04447-CA Issued in CA
Legal business name
TRINITY WAY PHARMACY, INC.
Doing business as
UC Care Pharmacy
Practice address
9999 Mira Mesa Blvd
Suite 101
San Diego, CA 92131-1006
Phone
(619) 933-4875
NPI assigned
Sep 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Yousif Habib Kattoula, PHARMD
Title
President
Phone
(619) 933-4875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 04447-CA CA Primary

Addresses

Primary practice location

9999 Mira Mesa Blvd
Suite 101
San Diego, CA 92131-1006

Mailing address

2650 Jamacha Rd. #147
PMB 111
El Cajon, CA 92108
Phone (619) 933-4875

Other names 1

  • UC Care Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

9999 Mira Mesa Blvd
Ste 101
San Diego, CA 92131
Phone (619) 933-4875

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1427484005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 JAMACHA RD. #147",
            "address_2": "PMB 111",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "619-933-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 MIRA MESA BLVD",
            "address_2": "SUITE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311006",
            "telephone_number": "619-933-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY WAY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "KATTOULA",
        "authorized_official_first_name": "YOUSIF",
        "authorized_official_middle_name": "HABIB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-933-4875",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "04447-CA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UC Care 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 3, 2014; 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.