Organization Active NPI

Arunav

Doing business as San Marcos Pharmacy

  • Pharmacy
  • San Marcos, CA
National Provider Identifier
1649639089
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
54278 Issued in CA
Legal business name
ARUNAV
Doing business as
San Marcos Pharmacy
Practice address
631 S Rancho Santa Fe Rd
Suite a
San Marcos, CA 92078-3973
Phone
(310) 972-0372
NPI assigned
Feb 13, 2016
Last updated
Apr 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Tarun WadhwaNPI 1821398884
Title
Ceo
Phone
(310) 972-0372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 54278 CA Primary

Addresses

Primary practice location

631 S Rancho Santa Fe Rd
Suite a
San Marcos, CA 92078-3973

Mailing address

631 S Rancho Santa Fe Rd
Suite a
San Marcos, CA 92078-3973
Phone (310) 972-0372

Other names 1

  • SAN MARCOS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160920002436 CA Part B Supplier - Mass Immunization (Roster Biller Only) 0446547335 Practice locations: San Marcos, CA

National Provider Directory

National Provider Directory

Locations

631 S Rancho Santa Fe Rd
#A
San Marcos, CA 92078
Phone (760) 798-0898

631 S Rancho Santa Fe Rd
Ste A
San Marcos, CA 92078
Phone (310) 972-0372

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1649639089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 S RANCHO SANTA FE RD",
            "address_2": "SUITE A",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920783973",
            "telephone_number": "310-972-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 S RANCHO SANTA FE RD",
            "address_2": "SUITE A",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920783973",
            "telephone_number": "310-972-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNAV",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-13",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "WADHWA",
        "authorized_official_first_name": "TARUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-972-0372"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "54278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN MARCOS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.