Organization Active NPI

Scripps Health Encinitas Ambulatory Pharmacy

  • Community/Retail Pharmacy
  • Encinitas, CA
National Provider Identifier
1649655267
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
53683 Issued in CA
Legal business name
SCRIPPS HEALTH ENCINITAS AMBULATORY PHARMACY
Practice address
310 Santa Fe Dr Ste 109
Encinitas, CA 92024-5124
Phone
(858) 678-7111
NPI assigned
Jul 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Authorized official

Name
Anthony Jackson
Title
Avp Pharmacy Services
Phone
(858) 678-7004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 53683 CA Primary

Addresses

Primary practice location

310 Santa Fe Dr Ste 109
Encinitas, CA 92024-5124

Mailing address

10140 Campus Point Dr
San Diego, CA 92121-1520
Phone (858) 678-7111

Other identifiers 1

IdentifierTypeStateIssuer
2153242OtherPK

Other names 1

  • Scripps Health Encinitas Ambulatory Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Scripps Clinic Med GRP Inc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1649655267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 CAMPUS POINT DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211520",
            "telephone_number": "858-678-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SANTA FE DR STE 109",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245124",
            "telephone_number": "858-678-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRIPPS HEALTH ENCINITAS AMBULATORY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "AVP PHARMACY SERVICES",
        "authorized_official_telephone_number": "858-678-7004"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "53683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153242",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scripps Health Encinitas Ambulatory Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scripps Health Encinitas Ambulatory Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.