Active NPI
CVS Pharmacy
- Pharmacist
- La Jolla, CA
National Provider Identifier
1629529912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74338
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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 DirectoryNPI 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.