Organization Active NPI

Rty Pharmaceutical Inc

  • Specialty Pharmacy
  • San Diego, CA
National Provider Identifier
1427499128
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PHY45633 Issued in CA
Legal business name
RTY PHARMACEUTICAL INC
Practice address
5222 Balboa Ave
San Diego, CA 92117-6904
Phone
(858) 278-0111
NPI assigned
Jul 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Robert Yasmeh
Title
Ceo
Phone
(858) 278-0111

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X PHY45633 CA Primary

Addresses

Primary practice location

5222 Balboa Ave
San Diego, CA 92117-6904

Mailing address

6465 Balboa Ave
Ste 101
San Diego, CA 92111-3155
Phone (858) 278-0111

Other identifiers 1

IdentifierTypeStateIssuer
2140993OtherPK

Other names 1

  • RTY PHARMACEUTICAL Doing business as

National Provider Directory

National Provider Directory

Locations

5222 Balboa Ave
San Diego, CA 92117
Phone (858) 278-0111

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1427499128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 BALBOA AVE",
            "address_2": "STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113155",
            "telephone_number": "858-278-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 BALBOA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176904",
            "telephone_number": "858-278-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTY PHARMACEUTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "YASMEH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-278-0111"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "PHY45633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140993",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RTY PHARMACEUTICAL",
            "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 Jul 27, 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.

Verify at the official NPI Registry.