NPIMap

Organization Active NPI

SJC Management & Consulting Corp

Doing business as Phillips Ranch Pharmacy

  • Long Term Care Pharmacy
  • Santee, CA
National Provider Identifier
1487277307
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SJC MANAGEMENT & CONSULTING CORP
Doing business as
Phillips Ranch Pharmacy
Practice address
300 Lantern Crest Way Ste a
Santee, CA 92071
Phone
(619) 312-0929
Fax
(619) 312-0735
NPI assigned
May 27, 2020
Last updated
Mar 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Mrs. Joanne Tina Evans, PHARM DNPI 1033651054
Title
Secretary/RPH
Phone
(909) 766-8330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

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

Addresses

Primary practice location

300 Lantern Crest Way Ste a
Santee, CA 92071

Mailing address

300 Lantern Crest Way Ste a
Santee, CA 92071
Phone (619) 312-0929

Other names 1

  • PHILLIPS RANCH PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210208002752 CA Part B Supplier - Pharmacy 6507980398 1 other NPI on this enrollment
Practice locations: Santee, CA; Pomona, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Phillips Ranch Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1487277307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LANTERN CREST WAY STE A",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "92071",
            "telephone_number": "619-312-0929",
            "fax_number": "619-312-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LANTERN CREST WAY STE A",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "92071",
            "telephone_number": "619-312-0929",
            "fax_number": "619-312-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJC MANAGEMENT & CONSULTING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "TINA",
        "authorized_official_title_or_position": "SECRETARY/RPH",
        "authorized_official_telephone_number": "909-766-8330",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHILLIPS RANCH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHILLIPS RANCH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.