Organization Active NPI

San Diego D & M Pharmacies Inc

Doing business as Point Loma Shelter Island Pharmacy

  • Community/Retail Pharmacy
  • San Diego, CA
National Provider Identifier
1518072545
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY37167 Issued in CA
Legal business name
SAN DIEGO D & M PHARMACIES INC
Doing business as
Point Loma Shelter Island Pharmacy
Practice address
1105 Rosecrans St
San Diego, CA 92106-2629
Phone
(619) 223-7171
Fax
(619) 223-9065
NPI assigned
Aug 20, 2006
Last updated
Sep 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Michael Saad, DIP PHARMNPI 1649323775
Title
President
Phone
(619) 223-7171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY37167 CA Primary

Addresses

Primary practice location

1105 Rosecrans St
San Diego, CA 92106-2629

Mailing address

PO Box 60383
San Diego, CA 92166-8383
Phone (619) 223-7171

Other identifiers 2

IdentifierTypeStateIssuer
PHA371670MedicaidCA
1996527OtherPK

Other names 1

  • POINT LOMA SHELTER ISLAND PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1518072545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60383",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921668383",
            "telephone_number": "619-223-7171",
            "fax_number": "619-223-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 ROSECRANS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062629",
            "telephone_number": "619-223-7171",
            "fax_number": "619-223-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO D & M PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-223-7171",
        "authorized_official_credential": "DIP PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY37167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA371670",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1996527",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POINT LOMA SHELTER ISLAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.