Active NPI
Amira Nour Eldin
- Pharmacist
- San Diego, CA
National Provider Identifier
1619410834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61571
- Practice address
- 8930 Activity Rd
Suite K
San Diego, CA 92126-4457 - Phone
- (858) 693-4123
- NPI assigned
- Nov 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 61571 | CA | Primary |
Addresses
Primary practice location
8930 Activity Rd
Suite K
San Diego, CA 92126-4457
Mailing address
7540 Golfcrest Dr
San Diego, CA 92119-1226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61571 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmerica Drug Systems LLC | Past | Accepting new patients | |
| Pharmerica Drug Systems LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479513600000",
"number": "1619410834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7540 GOLFCREST DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921191226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8930 ACTIVITY RD",
"address_2": "SUITE K",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264457",
"telephone_number": "858-693-4123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOUR ELDIN",
"first_name": "AMIRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-19",
"last_updated": "2016-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 19, 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.