Active NPI
Jenny Park Guarin, PHARMD
- Pharmacist
- San Diego, CA
National Provider Identifier
1508273459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70636
- Practice address
- 9455 Clairemont Mesa Blvd
San Diego, CA 92123-1297 - Phone
- (844) 328-9077
- Fax
- (858) 266-2585
- NPI assigned
- Jul 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 70636 | CA | Primary |
Addresses
Primary practice location
9455 Clairemont Mesa Blvd
San Diego, CA 92123-1297
Mailing address
2518 La Costa Ave
Chula Vista, CA 91915-1408
Phone (858) 531-2055
Other practice location 1
659 E Palomar St
Chula Vista, CA 91911-6974
Phone (619) 397-0466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70636 | Other | CA | CALIFORNIA BOARD OF PHARMACY LICENSE |
Other names 1
- Jenny Park
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
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralphs Grocery Company | Past | Accepting new patients | |
| Ralphs Grocery Company | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Chula Vista, CA
- NPI 1710902317
-
- Community/Retail Pharmacy
- Pacoima, CA
- NPI 1982772711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591401600000",
"number": "1508273459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2518 LA COSTA AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919151408",
"telephone_number": "858-531-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9455 CLAIREMONT MESA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231297",
"telephone_number": "844-328-9077",
"fax_number": "858-266-2585"
}
],
"practiceLocations": [
{
"address_1": "659 E Palomar St",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919116974",
"country_code": "US",
"telephone_number": "619-397-0466",
"fax_number": "619-397-0926",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUARIN",
"first_name": "JENNY",
"middle_name": "PARK",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-11",
"last_updated": "2020-06-06",
"certification_date": "2020-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF PHARMACY LICENSE",
"identifier": "70636",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNY",
"last_name": "PARK",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
- Priscilla Paulina Guardado, OTD, OTR/L
- Guardian Angel Home Care of San Diego LLC
- Guardian Angel Home Care, Inc.
- Guardian Angel Home Care, Inc.
- Guardian Pharmacy of Southern California LLC
- Christine Guarini
- Jeannine Evette Guarino, LCSW
- Joseph Guarino, L. AC.
- Michelle Rivero Guarino
- Christopher Guay, BA PSYCH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.