Active NPI
Sophie Judith Bordson, PHARM.D.
- Pharmacy Technician
- San Diego, CA
National Provider Identifier
1649618539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 25295
- Practice address
- 3606 1St Ave Unit 203
San Diego, CA 92103-4069 - Phone
- (858) 348-7261
- NPI assigned
- Jun 13, 2013
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 25295 | CA | Primary |
Addresses
Primary practice location
3606 1St Ave Unit 203
San Diego, CA 92103-4069
Mailing address
3606 1St Ave Unit 203
San Diego, CA 92103
Phone (858) 348-7261
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25295 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1649618539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3606 1ST AVE UNIT 203",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92103",
"telephone_number": "858-348-7261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3606 1ST AVE UNIT 203",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034069",
"telephone_number": "858-348-7261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDSON",
"first_name": "SOPHIE",
"middle_name": "JUDITH",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-13",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "25295",
"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 Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.