Active NPI
Alexandra Awrahem, PHARMD
- Pharmacist
- San Diego, CA
National Provider Identifier
1760221667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 89415
- Practice address
- 5685 Balboa Ave
San Diego, CA 92111-2705 - Phone
- (858) 279-2860
- NPI assigned
- May 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 89415 | CA | Primary |
Addresses
Primary practice location
5685 Balboa Ave
San Diego, CA 92111-2705
Mailing address
5685 Balboa Ave
San Diego, CA 92111-2705
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89415 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | Past | 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": "1716249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717286400000",
"number": "1760221667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5685 BALBOA AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921112705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5685 BALBOA AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921112705",
"telephone_number": "858-279-2860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWRAHEM",
"first_name": "ALEXANDRA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-21",
"last_updated": "2024-06-02",
"certification_date": "2024-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "89415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.