Active NPI
Sharp Healthcare
- Community/Retail Pharmacy
- San Diego, CA
National Provider Identifier
1699716696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY43224
- Legal business name
- SHARP HEALTHCARE
- Practice address
- 300 Fir St
San Diego, CA 92101-2327 - Phone
- (619) 446-1512
- Fax
- (619) 544-0677
- NPI assigned
- Jun 9, 2006
- Organization subpart
- Yes
- Parent organization
- SHARP HEALTHCARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacey Hrountas
- Title
- Ceo - Sharp Rees-Stealy
- Phone
- (858) 262-6003
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY43224 | CA | Primary |
Addresses
Primary practice location
300 Fir St
San Diego, CA 92101-2327
Mailing address
8695 Spectrum Center Blvd
San Diego, CA 92123-1489
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2088116 | Other | PK | |
| 1699716696 | Medicaid | CA | |
| PHA43224 | Other | CSBP |
Other names 1
- Sharp Rees-Stealy Pharmacy #1
National Provider Directory
National Provider Directory- Tax ID family
- Sharp Rees Stealy Pharm
- Part of
- Sharp Rees Stealy Pharm
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617753600000",
"number": "1699716696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8695 SPECTRUM CENTER BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 FIR ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012327",
"telephone_number": "619-446-1512",
"fax_number": "619-544-0677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARP HEALTHCARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHARP HEALTHCARE",
"enumeration_date": "2006-06-09",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A",
"authorized_official_last_name": "HROUNTAS",
"authorized_official_first_name": "STACEY",
"authorized_official_title_or_position": "CEO - SHARP REES-STEALY",
"authorized_official_telephone_number": "858-262-6003"
},
"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": "PHY43224",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2088116",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699716696",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSBP",
"identifier": "PHA43224",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sharp Rees-Stealy Pharmacy #1",
"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 Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.