NPIMap

Organization Active NPI

Sharp Healthcare

  • Community/Retail Pharmacy
  • San Diego, CA
National Provider Identifier
1528009602
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY55457 Issued in CA
Legal business name
SHARP HEALTHCARE
Practice address
16899 W Bernardo Dr
San Diego, CA 92127-1603
Phone
(858) 521-2290
Fax
(858) 521-2004
NPI assigned
Jun 9, 2006
Organization subpart
Yes
Parent organization
SHARP HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Stacey Hrountas
Title
Ceo Sharp Rees-Stealy
Phone
(858) 262-6003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY55457 CA Primary

Addresses

Primary practice location

16899 W Bernardo Dr
San Diego, CA 92127-1603

Mailing address

8695 Spectrum Center Blvd
San Diego, CA 92123-1489
Phone (858) 499-3025

Other identifiers 3

IdentifierTypeStateIssuer
FLU011COtherCAMEDICARE
1999407OtherPK
PHA451060MedicaidCA

Other names 1

  • SHARP REES-STEALY PHARMACY #3 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sharp Rees Stealy Pharm25 organizations share this tax ID, including this one
Part of
Sharp Rees Stealy Pharm

Other organizations with this tax ID 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1528009602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 SPECTRUM CENTER BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231489",
            "telephone_number": "858-499-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16899 W BERNARDO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271603",
            "telephone_number": "858-521-2290",
            "fax_number": "858-521-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHARP HEALTHCARE",
        "enumeration_date": "2006-06-09",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "HROUNTAS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "CEO SHARP REES-STEALY",
        "authorized_official_telephone_number": "858-262-6003"
    },
    "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": "PHY55457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "FLU011C",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1999407",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA451060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHARP REES-STEALY PHARMACY #3",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHARP REES-STEALY PHARMACY #3",
            "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 Aug 6, 2019; 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.