Mikhail Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MIKHAIL PHARMACY LLC

Doing business as

Family Pharmacy 2

Practice address

480 4TH Ave Ste 100
Chula Vista, CA 91910-4411

Phone

(619) 207-4959

NPI assigned

Mar 15, 2023

Last updated

Mar 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Noor MikhailNPI 1124655782

Title

Manager

Phone

(619) 207-4959

Specialties & licenses 1

Addresses

Other names 1

• Family Pharmacy 2 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

Family Pharmacy 22 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.

• Mikhail Pharmacy LLC

  • Long Term Care Pharmacy
  • Chula Vista, CA
  • NPI 1205645793
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Noor Mikhail

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • El Cajon, CA
  • NPI 1124655782
  NPD (past) Authorized official

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1811698947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 4TH AVE STE 100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 4TH AVE STE 100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104411",
            "telephone_number": "619-207-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKHAIL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "NOOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-207-4959"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Hoangquocgia
• Courtney Mier, BCBA
• David Sebastian Mignea, DPT
• Jorge Mijares
• Mikhail Pharmacy LLC
• Nenad Milanovic, DPM
• Michelle Marie Milczewsky
• Jorge Millan Jr., DPT
• Lucia Marisela Millan, LCSW
• Patricia Millan, BCBA

• Community/Retail Pharmacy in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.