Organization Active NPI

Phuranda Inc.

  • Community/Retail Pharmacy
  • San Diego, CA
National Provider Identifier
1811085533
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY49014 Issued in CA
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0580298OtherCANCPDP NUMBER
PHY49014OtherCAPHARMACY LICENSE

Other names 1

  • SavMart Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Phuranda Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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.

Verify at the official NPI Registry.