Organization Active NPI

County of San Diego

  • Pharmacy
  • Chula Vista, CA
National Provider Identifier
1730870197
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
COUNTY OF SAN DIEGO
Practice address
690 Oxford St RM 196
Chula Vista, CA 91911-7111
Phone
(619) 409-3150
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Dr. Jairus Mahoe, PHARMDNPI 1255871638
Title
Pharmacy Manager
Phone
(619) 402-8564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

690 Oxford St RM 196
Chula Vista, CA 91911-7111

Mailing address

690 Oxford St RM 196
Chula Vista, CA 91911-7111
Phone (619) 409-3150

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0698126San Diego County STD Clinic690 Oxford St, Chula Vista, CA 91911Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

690 Oxford St
Rm 196
Chula Vista, CA 91911
Phone (619) 409-3150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1730870197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 OXFORD ST RM 196",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919117111",
            "telephone_number": "619-409-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 OXFORD ST RM 196",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919117111",
            "telephone_number": "619-409-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "MAHOE",
        "authorized_official_first_name": "JAIRUS",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "619-402-8564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.