Organization Active NPI

Family Pharmacy LTC

  • Long Term Care Pharmacy
  • Chula Vista, CA
National Provider Identifier
1508690363
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FAMILY PHARMACY LTC
Practice address
340 4TH Ave Ste 1
Chula Vista, CA 91910-3882
Phone
(619) 373-1477
Fax
(619) 737-4170
NPI assigned
Aug 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Noor Mikhail
Title
Manager
Phone
(619) 905-7722

Specialties & licenses 1

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

Addresses

Primary practice location

340 4TH Ave Ste 1
Chula Vista, CA 91910-3882

Mailing address

250 E Chase Ave Ste 108
El Cajon, CA 92020-6305

National Provider Directory

National Provider Directory
Tax ID family
Family Pharmacy 32 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1508690363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E CHASE AVE STE 108",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 4TH AVE STE 1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103882",
            "telephone_number": "619-373-1477",
            "fax_number": "619-737-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY LTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "NOOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-905-7722"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.