Active NPI
Phuranda Inc.
- Community/Retail Pharmacy
- San Diego, CA
National Provider Identifier
1811085533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY49014
- Legal business name
- PHURANDA INC.
- Practice address
- 15721 Bernardo Heights Pkwy
San Diego, CA 92128-3176 - Phone
- (858) 451-2611
- Fax
- (858) 451-6324
- NPI assigned
- Oct 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Aram Kaleo Penaranda, PHARM D.
- Title
- President and Owner
- Phone
- (858) 451-2611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY49014 | CA | Primary |
Addresses
Primary practice location
15721 Bernardo Heights Pkwy
San Diego, CA 92128-3176
Mailing address
15721 Bernardo Heights Pkwy
San Diego, CA 92128-3176
Phone (858) 451-2611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0580298 | Other | CA | NCPDP NUMBER |
| PHY49014 | Other | CA | PHARMACY LICENSE |
Other names 1
- SavMart Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Phuranda Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- San Diego, CA
- NPI 1578710570
Locations
15721 Bernardo Heights Pkwy
San Diego, CA 92128
Phone (858) 451-2611
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- San Diego, CA
- NPI 1851656805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1811085533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15721 BERNARDO HEIGHTS PKWY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921283176",
"telephone_number": "858-451-2611",
"fax_number": "858-451-6324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15721 BERNARDO HEIGHTS PKWY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921283176",
"telephone_number": "858-451-2611",
"fax_number": "858-451-6324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHURANDA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "PENARANDA",
"authorized_official_first_name": "ARAM",
"authorized_official_middle_name": "KALEO",
"authorized_official_title_or_position": "PRESIDENT AND OWNER",
"authorized_official_telephone_number": "858-451-2611",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARM D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY49014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP NUMBER",
"identifier": "0580298",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "PHY49014",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SavMart Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.