Park Medical Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50578 Issued in CA

Legal business name

PARK MEDICAL PHARMACY

Doing business as

Community Medical Center Pharmacy

Practice address

750 Medical Center CT
Ste 1
Chula Vista, CA 91911-6634

Phone

(619) 421-1131

Fax

(619) 421-7405

NPI assigned

Feb 14, 2011

Organization subpart

No

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

Authorized official

Name

George Awad, RPH

Title

Owner

Phone

(619) 997-4702

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Community Medical Center Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1669779435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MEDICAL CENTER CT",
            "address_2": "STE 1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116634",
            "telephone_number": "619-421-1131",
            "fax_number": "619-421-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MEDICAL CENTER CT",
            "address_2": "STE 1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116634",
            "telephone_number": "619-421-1131",
            "fax_number": "619-421-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK MEDICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-997-4702",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128995",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Parfitt
• Milind Dakshesh Parikh, D.O.
• Germaine Paris, ND
• Parizad Seraj DDS
• Park Medical Pharmacy (Medical Center Pharmacy)
• Park Medical Pharmacy, Inc (Community Medical Center Pharmacy)
• Chante D Park
• Taikeun Park, MD
• Barbara J Parker
• Chyna Parker

• Community/Retail Pharmacy in Chula Vista, CA
• Providers in Chula Vista, 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 Mar 11, 2016; 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.