Pacifico West RX, Inc.

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

PACIFICO WEST RX, INC.

Doing business as

PureScienceRx

Practice address

15644 Pomerado Rd
Suite 303
Poway, CA 92064-2400

Phone

(858) 726-2614

NPI assigned

Sep 21, 2016

Organization subpart

No

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

Authorized official

Name

Cindy Justice

Title

President

Phone

(858) 726-2614

Specialties & licenses 2

Addresses

Other names 1

• PureScienceRx Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maryna Blom, RPH

  • Pharmacist
  • Poway, CA
  • NPI 1508203506
  NPD (past)

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1811445646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15644 POMERADO RD",
            "address_2": "SUITE 303",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642400",
            "telephone_number": "858-726-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 POMERADO RD",
            "address_2": "SUITE 303",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642400",
            "telephone_number": "858-726-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICO WEST RX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-726-2614"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PureScienceRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer L Ottino, D.O.
• Kevin Owsley, M.D.
• Pacific Center for Neurological Disease Inc
• Pacific Diagnostics, Inc. (SD RX)
• Pacific Sierra Medical
• Jonathan Michael Paden, PT
• Edward P. Padilla, MA, MS, RDN
• Jerilyn A Padua
• Pain Allevia Medical Corporation
• Keiloni Paje

• Specialty Pharmacy in Poway, CA
• Providers in Poway, CA by specialty
• Specialty Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.