Regents of the University of California-Ucsd Ambulatory Care Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHE48990 Issued in CA

Legal business name

REGENTS OF THE UNIVERSITY OF CALIFORNIA-UCSD AMBULATORY CARE PHARMACY

Doing business as

Ucsd Img Clinic Pharmacy

Practice address

8939 Villa la Jolla Dr
Ste 129
La Jolla, CA 92037-1732

Phone

(858) 657-2220

Fax

(858) 657-2228

NPI assigned

Mar 4, 2008

Organization subpart

Yes

Parent organization

REGENTS OF THE UNIVERSITY OF CALIFORNIA-UCSDMGAs reported in NPPES

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

Authorized official

Name

Mr. Gary Hagney, RPH

Title

Director Ucsd Amcare Pharmacy

Phone

(619) 543-6194

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• UCSD IMG CLINIC PHARMACY Doing business as

Part of

Ucsd Dept of Comm Family

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1790955987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "address_2": "MAIL CODE 8765",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039001",
            "telephone_number": "619-543-6194",
            "fax_number": "619-543-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8939 VILLA LA JOLLA DR",
            "address_2": "STE 129",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371732",
            "telephone_number": "858-657-2220",
            "fax_number": "858-657-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA-UCSD AMBULATORY CARE PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA-UCSDMG",
        "enumeration_date": "2008-03-04",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "HAGNEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DIRECTOR UCSD AMCARE PHARMACY",
        "authorized_official_telephone_number": "619-543-6194",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHE48990",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CA",
            "license": "PHE48990",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHE48990",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "GZ617A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5629499",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSD IMG CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regents of the University of California (UCSD Medical Center)
• Regents of the University of California (UCSD Student Health Services)
• Regents of the University of California (Koman Family Outpatient Pavilion)
• Regents of the University of California (Ucsd Moores Cancer Center)
• Regents of the University of California-Ucsd Ambulatory Care Pharmacy (The Edith & William Perlman Acc Pharmacy)
• Regents of the University of UC
• Regents of the Unviersity of California
• Ossana Jacqueline Reichenbach, LCSW
• Christopher Reid, MD
• Tony R Reid, M.D

• Pharmacy in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.