Individual provider Active NPI

Aaron Swann

  • Pharmacist
  • Alpine, CA
National Provider Identifier
1487057055
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50223 Issued in CA
Practice address
1730 Alpine Blvd Ste 109
Alpine, CA 91901-3877
Phone
(619) 722-6442
Fax
(619) 722-6443
NPI assigned
Sep 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 50223 CA Primary

Addresses

Primary practice location

1730 Alpine Blvd Ste 109
Alpine, CA 91901-3877

Mailing address

101 Town Center Pkwy
Santee, CA 92071-5802
Phone (619) 562-3993

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
50223CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dmmjr Inc CurrentSince Jul 28, 2024 Accepting new patients
Dmmjr Inc CurrentSince Jul 28, 2024 Accepting new patients

Locations

1730 Alpine Blvd
Ste 109
Alpine, CA 91901
Phone (619) 722-6442

Organizations & group practices 2

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": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1487057055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWN CENTER PKWY",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920715802",
            "telephone_number": "619-562-3993",
            "fax_number": "619-562-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 ALPINE BLVD STE 109",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013877",
            "telephone_number": "619-722-6442",
            "fax_number": "619-722-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANN",
        "first_name": "AARON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-26",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "50223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.