Park Medical Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH57626 Issued in CA

Legal business name

PARK MEDICAL PHARMACY

Doing business as

Medical Center Pharmacy

Practice address

610 Gateway Center Way
Suite a
San Diego, CA 92102-4533

Phone

(619) 262-4373

Fax

(619) 398-2929

NPI assigned

Aug 17, 2006

Last updated

Mar 7, 2023By 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

Mr. George Awad, R

Title

Owner

Phone

(619) 262-4373

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Medical Center Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1700999034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 GATEWAY CENTER WAY",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024533",
            "telephone_number": "619-262-4373",
            "fax_number": "619-398-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 GATEWAY CENTER WAY",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024533",
            "telephone_number": "619-262-4373",
            "fax_number": "619-398-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK MEDICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-262-4373",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY 40504",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH57626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PHY40504",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mecah Blanche Paris, LCSW
• Rosemarie E. Paris, MA
• Veronica Paris
• Justin T Parizo, M.D.
• Park Medical Pharmacy (Medical Center Pharmacy)
• Park Medical Pharmacy (Medical Center Pharmacy)
• Park Medical Pharmacy, Inc (Medical Center Pharmacy)
• Park Medical Physical Therapy, Prof Corp
• Park Medical Physical Therapy, Prof Corp
• Park Medical Supplies, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.