Organization Active NPI

CVS Pharmacy

  • Pharmacist
  • La Jolla, CA
National Provider Identifier
1629529912
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
74338 Issued in CA
Legal business name
CVS PHARMACY
Practice address
7525 Eads Ave
La Jolla, CA 92037-4806
Phone
(858) 273-0440
NPI assigned
Oct 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Mrs. Farah Riyadh Kormangy, RPH
Title
Pharmacist
Phone
(619) 729-2484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 74338 CA Primary

Addresses

Primary practice location

7525 Eads Ave
La Jolla, CA 92037-4806

Mailing address

7525 Eads Ave
La Jolla, SAN DIEGO 92037
UM
Phone (858) 551-0699

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1629529912",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "7525 EADS AVE",
            "city": "LA JOLLA",
            "state": "SAN DIEGO",
            "postal_code": "92037",
            "telephone_number": "858-551-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 EADS AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374806",
            "telephone_number": "858-273-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "KORMANGY",
        "authorized_official_first_name": "FARAH",
        "authorized_official_middle_name": "RIYADH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "619-729-2484",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "74338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.