Seagate Health Enterprises Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY51898 Issued in CA

Legal business name

SEAGATE HEALTH ENTERPRISES INC.

Doing business as

San Pedro Pharmacy

Practice address

1360 W 6TH St
Suite 115
San Pedro, CA 90732-3514

Phone

(310) 831-0155

Fax

(310) 831-6654

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Vishal Patel, PHARMD

Title

Pharmacist in Charge

Phone

(310) 831-0155

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• San Pedro Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1750335790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "SUITE 115",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-831-0155",
            "fax_number": "310-831-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "SUITE 115",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-831-0155",
            "fax_number": "310-831-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAGATE HEALTH ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "310-831-0155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY51898",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA441510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Pedro Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith Schreier
• Schwab Chiropractic Inc.
• Tony Allen Schwab, DC
• Robin Schwarm, LMFT
• Seacrest Convalescent Hospital, Inc.
• Seaside Marine Intrntl Drug Co Inc
• Seaside Prescription Pharmacy Inc
• Abigail Seaver, L.AC.
• Michele Ann Seckington, F.N.P.
• Lisa Anne Sedillo, ARRT R M, RDMS

• Community/Retail Pharmacy in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.