NPIMap

Organization Active NPI

1918 Winter Street Operating Co LLC

Doing business as Pavilions Pharmacy #2119

  • Community/Retail Pharmacy
  • San Diego, CA
National Provider Identifier
1669243762
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
1918 WINTER STREET OPERATING CO LLC
Doing business as
Pavilions Pharmacy #2119
Practice address
3850 Valley Centre Dr
San Diego, CA 92130-2331
Phone
(858) 793-4667
Fax
(858) 793-4431
NPI assigned
Jan 9, 2024
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Kevin McNamara
Title
Authorized Person
Phone
(603) 354-4619

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

3850 Valley Centre Dr
San Diego, CA 92130-2331

Mailing address

7 Corporate Dr
Keene, NH 03431-5042
Phone (603) 354-7000

Other names 1

  • PAVILIONS PHARMACY #2119 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
1918 Winter Street Operating Co LLC496 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Locations

3850 Valley Centre Dr
San Diego, CA 92130
Phone (858) 793-4667

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1669243762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CORPORATE DR",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034315042",
            "telephone_number": "603-354-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 VALLEY CENTRE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302331",
            "telephone_number": "858-793-4667",
            "fax_number": "858-793-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1918 WINTER STREET OPERATING CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-07-24",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "MCNAMARA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "603-354-4619"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAVILIONS PHARMACY #2119",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 24, 2024; 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.