Cky Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

53479 Issued in CA

Legal business name

CKY PHARMACY INC

Doing business as

Otay Lakes Pharmacy

Practice address

945 Otay Lakes Rd Ste J
Chula Vista, CA 91913-3055

Phone

(619) 326-9034

Fax

(619) 326-9045

NPI assigned

Sep 15, 2015

Last updated

Apr 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cecile Marie Alcaraz, RPH

Title

President/Pic

Phone

(858) 583-0318

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• OTAY LAKES PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1689043002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 OTAY LAKES RD STE J",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919133055",
            "telephone_number": "619-326-9034",
            "fax_number": "619-326-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 OTAY LAKES RD STE J",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919133055",
            "telephone_number": "619-326-9034",
            "fax_number": "619-326-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "ALCARAZ",
        "authorized_official_first_name": "CECILE MARIE",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "858-583-0318",
        "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": "53479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154175",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OTAY LAKES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ciecal RC Inc (South Bay Primary Medical Group)
• Karisa Cinco
• Circle of Life Healthcare Inc.
• Carolina Cisneros, M.S.
• City of Chula Vista (Chula Vista Fire Department)
• Anna Clark
• Devin Clark
• John J Clark Jr., OD
• Kamy Clark
• Keisha Clark

• 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 Apr 14, 2017; 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.