Del Sur Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY55594 Issued in CA

Legal business name

DEL SUR PHARMACY

Doing business as

Fairbanks Pharmacy

Practice address

16089 San Dieguito Rd
H102
Rancho Santa Fe, CA 92067

Phone

(858) 759-6625

Fax

(858) 759-6729

NPI assigned

Jun 6, 2017

Last updated

Apr 18, 2018By 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

Bernard Gramlich, PHARM.D.NPI 1124009246

Title

Ceo

Phone

(858) 759-6625

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Fairbanks Pharmacy Doing business as

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.

• Bernard Gramlich, PHARM.D.

  • Pharmacist
  • Rancho Santa Fe, CA
  • NPI 1124009246
  Authorized official Same address or phone

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1831628692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9227",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920674227",
            "telephone_number": "858-759-6625",
            "fax_number": "858-759-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16089 SAN DIEGUITO RD",
            "address_2": "H102",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "92067",
            "telephone_number": "858-759-6625",
            "fax_number": "858-759-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL SUR PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "GRAMLICH",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-759-6625",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55594",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831628692",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169647",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairbanks Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairbanks Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Ann Christensen, O.D.
• Peter Colaprete, MD
• David K. Woodruff, Au.D. an Audiology Corporation (Rancho Santa Fe Audiology)
• Jennifer Dean, D.M.D.
• Del Sur Pharmacy (Fairbanks Pharmacy LTC)
• Robert Arnold Demarco, D.C.
• James Dickson
• Julie Doyle, MD
• Taylor Duncan, DC
• Emergency and Acute Care Medical Corporation

• Community/Retail Pharmacy in Rancho Santa Fe, CA
• Providers in Rancho Santa Fe, 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 Apr 18, 2018; 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.