NPIMap

Individual provider Active NPI

Jim Hahn, RPH

  • Pharmacist
  • Chula Vista, CA
National Provider Identifier
1710165386
Registry record updated Sep 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
53785 Issued in CA
Practice address
1745 Eastlake Pkwy Ste 104
Chula Vista, CA 91915-2033
Phone
(619) 421-4142
Fax
(619) 409-6410
NPI assigned
Feb 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 53785 CA Primary

Addresses

Primary practice location

1745 Eastlake Pkwy Ste 104
Chula Vista, CA 91915-2033

Mailing address

1745 Eastlake Pkwy Ste 104
Chula Vista, CA 91915-2033
Phone (619) 421-4142

Other practice location 1

1745 Eastlake Pkwy Ste 104
Chula Vista, CA 91915-2033
Phone (619) 421-4142

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address s2826c01@safeway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vons Companies Inc Past Accepting new patients
Vons Companies Inc PastSince Sep 25, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568505600000",
    "number": "1710165386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 EASTLAKE PKWY STE 104",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152033",
            "telephone_number": "619-421-4142",
            "fax_number": "619-409-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 EASTLAKE PKWY STE 104",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152033",
            "telephone_number": "619-421-4142",
            "fax_number": "619-409-6410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1745 Eastlake Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919152033",
            "country_code": "US",
            "telephone_number": "619-421-4142",
            "fax_number": "619-409-6410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAHN",
        "first_name": "JIM",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2019-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "53785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "s2826c01@safeway.com",
            "affiliation": "N",
            "endpointDescription": "corperate email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1745 Eastlake Pkwy",
            "city": "Chula Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919152033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; 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.