NPIMap

Organization Active NPI

Park Medical Pharmacy

Doing business as Medical Center Pharmacy

  • Pharmacist
  • Chula Vista, CA
National Provider Identifier
1508970849
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH42751 Issued in CA
Legal business name
PARK MEDICAL PHARMACY
Doing business as
Medical Center Pharmacy
Practice address
855 3Rd Ave
Ste 1102
Chula Vista, CA 91911
Phone
(619) 585-0665
Fax
(619) 585-0591
NPI assigned
Aug 17, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. George Awad
Title
Owner
Phone
(619) 262-4373

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X RPH42751 CA Primary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X PHY 44794 CA

Addresses

Primary practice location

855 3Rd Ave
Ste 1102
Chula Vista, CA 91911

Mailing address

610 Gateway Center Way
Ste a
San Diego, CA 92102-4533
Phone (619) 585-0665

Other names 1

  • Medical Center Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1635 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 585-8818

855 Third Ave
Ste 1102
Chula Vista, CA 91911
Phone (619) 585-0665

4060 4th Ave
Ste 110
San Diego, CA 92103
Phone (858) 678-7111

4074 Fairmount Ave
San Diego, CA 92105
Phone (619) 284-1141

610 Gateway Center Way
San Diego, CA 92102
Phone (619) 262-4373

610 Gateway Center Way
Ste F
San Diego, CA 92102

7910 Frost St
Ste 130
San Diego, CA 92123
Phone (858) 560-1911

Practitioners & affiliated clinicians

Practitioners 7

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1508970849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 GATEWAY CENTER WAY",
            "address_2": "STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024533",
            "telephone_number": "619-585-0665",
            "fax_number": "619-585-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 3RD AVE",
            "address_2": "STE 1102",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91911",
            "telephone_number": "619-585-0665",
            "fax_number": "619-585-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK MEDICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-262-4373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH42751",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY 44794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 7, 2023; 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.