Active NPI
Scripps Health Encinitas Ambulatory Pharmacy
- Community/Retail Pharmacy
- Encinitas, CA
National Provider Identifier
1649655267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 53683
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2153242 | Other | PK |
Other names 1
- Scripps Health Encinitas Ambulatory Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Scripps Clinic Med GRP Inc
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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.