Park Medical Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH42751 Issued in CA

Legal business name

PARK MEDICAL 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

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• Medical Center Pharmacy Doing business as

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alejandra Bedrossian

  • Physical Therapy Assistant
  • San Diego, CA
  • NPI 1346169331
  NPD (past)
• Salvatore Fantano, PT, DPT

  • Physical Therapist
  • San Diego, CA
  • NPI 1164182598
  NPD (past)
• Matthew Friedman, PT, DPT

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • San Diego, CA
  • NPI 1992311690
  NPD (past)
• Rolanfrancis Arellano Legaspi, PHARM. D.

  • Pharmacist
  • San Diego, CA
  • NPI 1407415318
  NPD (past)
• Michael Nobles, PT , DPT

  • Physical Therapist
  • San Diego, CA
  • NPI 1073366233
  NPD (past)
• James Patrick Wilson, PHARMD, CDCES

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • San Diego, CA
  • NPI 1063677300
  NPD (past)
• Gregory Banks

  • Physical Therapist
  • Prince George, VA
  • NPI 1396299236
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA447940",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PHY44794",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Gabriela Parente, M.D.
• Lauren Parfitt
• Milind Dakshesh Parikh, D.O.
• Germaine Paris, ND
• Parizad Seraj DDS
• Park Medical Pharmacy
• Park Medical Pharmacy, Inc
• Chante D Park
• Taikeun Park, MD
• Barbara J Parker

• Pharmacist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Pharmacist in California

• 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.