Active NPI
Gregory Ambrose, PHARM D
- Ambulatory Care Pharmacist
- San Diego, CA
National Provider Identifier
1649637265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 42991
- Practice address
- 3558 Ruffin Rd
Suite 101
San Diego, CA 92123-2596 - Phone
- (858) 627-5644
- Fax
- (858) 636-2236
- NPI assigned
- Jan 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 42991 | CA | Primary |
Addresses
Primary practice location
3558 Ruffin Rd
Suite 101
San Diego, CA 92123-2596
Mailing address
3558 Ruffin Rd
Suite 101
San Diego, CA 92123-2596
Phone (858) 627-5644
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 |
|---|---|---|---|
| 42991 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1649637265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3558 RUFFIN RD",
"address_2": "SUITE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232596",
"telephone_number": "858-627-5644",
"fax_number": "858-636-2236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3558 RUFFIN RD",
"address_2": "SUITE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232596",
"telephone_number": "858-627-5644",
"fax_number": "858-636-2236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBROSE",
"first_name": "GREGORY",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-27",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CA",
"license": "42991",
"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 Feb 1, 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.