Paradise Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PARADISE PHARMACY, INC.

Doing business as

Ivy Pharmacy

Practice address

3940 4TH Ave Ste 150
San Diego, CA 92103-7193

Phone

(619) 839-0455

NPI assigned

Aug 29, 2023

Organization subpart

No

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

Authorized official

Name

Rolanfrancis Arellano Legaspi, PHARM.D.

Title

Ceo/Director

Phone

(858) 560-1911

Specialties & licenses 2

Addresses

Other names 1

• Ivy Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Paradise Pharmacy, Inc.

  • Community/Retail Pharmacy
  • National City, CA
  • NPI 1619416773

  3173052354

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Ivy 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.

• Paradise Pharmacy, Inc.

  • Community/Retail Pharmacy
  • National City, CA
  • NPI 1619416773
  NPD tax ID

Locations

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1699550400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 103",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423130",
            "telephone_number": "858-560-1979",
            "fax_number": "858-560-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 4TH AVE STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037193",
            "telephone_number": "619-839-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "LEGASPI",
        "authorized_official_first_name": "ROLANFRANCIS",
        "authorized_official_middle_name": "ARELLANO",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "858-560-1911",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivy Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn Parada, LCSW
• Paradigm Psychology, P.C.
• Kerry Paradis
• Paradise Hills Board and Care
• Paradise Hills Senior Living Inc
• Maria Abigail Paragas
• Parallel Learning Psychology P.C.
• Jennifer Parambath, M.S., CCC-SLP
• Ashok R Parameswaran, MD
• Maria Guadalupe Paramo Loaiza

• Pharmacy in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.