NPIMap

Organization Active NPI

Sharp Grossmont Hospital Pharmacy

Doing business as Costco Wholesaler Pharmacy

  • General Acute Care Hospital
  • La Mesa, CA
National Provider Identifier
1760862924
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
RPH38344 Issued in CA
Legal business name
SHARP GROSSMONT HOSPITAL PHARMACY
Doing business as
Costco Wholesaler Pharmacy
Practice address
5555 Grossmont Center Dr
Outpatient Pharmacy
La Mesa, CA 91942-3019
Phone
(619) 740-4458
Fax
(619) 740-4354
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Ms. Karlene Kay Sarrisin, R.PH.NPI 1447617832
Title
Staff Pharmacist
Phone
(619) 740-4451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X RPH38344 CA Primary

Addresses

Primary practice location

5555 Grossmont Center Dr
Outpatient Pharmacy
La Mesa, CA 91942-3019

Mailing address

11192 Socorro St
San Diego, CA 92129-1321
Phone (858) 449-9475

Other identifiers 1

IdentifierTypeStateIssuer
PHB374550MedicaidCA

Other names 1

  • Costco Wholesaler Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sharp Home Infusion Services14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1760862924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11192 SOCORRO ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921291321",
            "telephone_number": "858-449-9475",
            "fax_number": "619-740-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DR",
            "address_2": "OUTPATIENT PHARMACY",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423019",
            "telephone_number": "619-740-4458",
            "fax_number": "619-740-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP GROSSMONT HOSPITAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "SARRISIN",
        "authorized_official_first_name": "KARLENE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "619-740-4451",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "RPH38344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHB374550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costco Wholesaler Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.