Active NPI
Palomar Health
Doing business as Palomar Health Pharmacy Services - PMC Poway
- Institutional Pharmacy
- Poway, CA
National Provider Identifier
1790801181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- License
- HPE 19625
- Legal business name
- PALOMAR HEALTH
- Doing business as
- Palomar Health Pharmacy Services - PMC Poway
- Practice address
- 15615 Pomerado Road
Poway, CA 92064 - Phone
- (858) 613-4000
- Fax
- (760) 480-7966
- NPI assigned
- Mar 21, 2007
- Last updated
- Mar 9, 2021
- Organization subpart
- Yes
- Parent organization
- PALOMAR HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Hansen
- Title
- President and Ceo
- Phone
- (760) 740-6385
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | NU | ||
| Institutional Pharmacy | 3336I0012X | NU | ||
| Institutional Pharmacy | 3336I0012X | HPE 19625 | CA | Primary |
Addresses
Primary practice location
15615 Pomerado Road
Poway, CA 92064
Mailing address
2125 Citracado Pkwy Ste 300
Escondido, CA 92029-4159
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0596520 | Other | CA | NABP NUMBER |
| PHB196250 | Other | CA | MEDICAL |
Other names 1
- Palomar Health Pharmacy Services - PMC Poway
National Provider Directory
National Provider Directory- Tax ID family
- Pomerado Hospital Phcy
- Part of
- Pomerado Hospital Phcy
Other organizations with this tax ID 13
Organizations that report the same tax identification number in the National Provider Directory.
-
dba PMC Outpatient Pharmacy - Poway
- Community/Retail Pharmacy
- Poway, CA
- NPI 1073192720
-
dba Palomar Health Surgery Center
- Ambulatory Surgical Clinic/Center
- Escondido, CA
- NPI 1083065882
-
dba Palomar Health Expresscare
- Urgent Care Clinic/Center
- San Marcos, CA
- NPI 1093268369
-
dba Palomar Health Pharmacy Services - PMC Escondido
- Community/Retail Pharmacy
- Escondido, CA
- NPI 1245649904
-
dba Palomar Health Pharmacy Services - PMC Downtown Escondido
- Institutional Pharmacy
- Escondido, CA
- NPI 1285752063
-
dba Palomar Health Forensic Health Services
- Public Health or Welfare Agency
- Escondido, CA
- NPI 1386134864
-
dba Palomar Health Expresscare
- Urgent Care Clinic/Center
- Escondido, CA
- NPI 1437602703
-
dba Palomar Health Laboratory Services - PMC Downtown Escondido
- Clinical Medical Laboratory
- Escondido, CA
- NPI 1639427677
-
dba Palomar Health Laboratory Services - PMC Escondido
- Clinical Medical Laboratory
- Escondido, CA
- NPI 1639427685
-
dba Palomar Health Acute Rehabilitation
- Rehabilitation Hospital Unit
- Poway, CA
- NPI 1760004766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615248000000",
"number": "1790801181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 CITRACADO PKWY STE 300",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920294159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15615 POMERADO ROAD",
"city": "POWAY",
"state": "CA",
"postal_code": "92064",
"telephone_number": "858-613-4000",
"fax_number": "760-480-7966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALOMAR HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PALOMAR HEALTH",
"enumeration_date": "2007-03-21",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A",
"authorized_official_last_name": "HANSEN",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "760-740-6385"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "CA",
"license": "HPE 19625",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP NUMBER",
"identifier": "0596520",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "PHB196250",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Palomar Health Pharmacy Services - PMC Poway",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Palomar Health Pharmacy Services - PMC Poway",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Poway, CA
- Palomar Health (PMC Outpatient Pharmacy - Poway)
- Palomar Health (Palomar Medical Center Poway)
- Palomar Health (The Villas at Poway)
- Palomar Health (Palomar Health Center for Behavioral Health - PMC Poway)
- Palomar Health (Palomar Health Acute Rehabilitation)
- Palomar Health (Palomar Health Laboratory Services - PMC Poway)
- Palomar Ucsd Health Authority
- Palomar Ucsd Health Authority (Palomar UCSD Medical Center Poway)
- Palomar Ucsd Health Authority
- Palomar Ucsd Health Authority (The Villas at Poway)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.