North Park Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50340 Issued in CA

Legal business name

NORTH PARK PHARMACY INC

Doing business as

North Park Pharmacy

Practice address

3445 30TH St
San Diego, CA 92104-4117

Phone

(619) 955-8081

Fax

(619) 955-8084

NPI assigned

Nov 9, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Mahmoud Habhab

Title

Vice President

Phone

(619) 955-8081

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• NORTH PARK PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1669773586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921044117",
            "telephone_number": "619-955-8081",
            "fax_number": "619-955-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921044117",
            "telephone_number": "619-955-8081",
            "fax_number": "619-955-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PARK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "HABHAB",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "619-955-8081",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY50340",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "PHY50340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH PARK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Elise North, MS, RD
• Julianne Murray North, MD
• Karen J North, MS., OTR/L

• 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 9, 2010; 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.