Shanzo Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHANZO INC

Practice address

6255 University Ave Ste A1
San Diego, CA 92115-5727

Phone

(619) 436-5571

Fax

(619) 436-5572

NPI assigned

Dec 3, 2019

Organization subpart

No

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

Authorized official

Name

John HanNPI 1770980500

Title

Ceo

Phone

(619) 436-5571

Specialties & licenses 2

Addresses

Other names 1

• Regents Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Regents Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Shanzo Inc

  • Long Term Care Pharmacy
  • San Diego, CA
  • NPI 1538726062
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Han, PHARM.D.

  • Pharmacist
  • San Marcos, CA
  • NPI 1770980500
  NPD Authorized official

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1669019113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504123",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921504123",
            "telephone_number": "619-436-5571",
            "fax_number": "619-436-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 UNIVERSITY AVE STE A1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921155727",
            "telephone_number": "619-436-5571",
            "fax_number": "619-436-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANZO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2021-11-17",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-436-5571"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regents Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regents Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.