Organization Active NPI

Habibis Pharmacy LLC

  • Community/Retail Pharmacy
  • Chula Vista, CA
National Provider Identifier
1851095160
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HABIBIS PHARMACY LLC
Practice address
340 4TH Ave Ste 1
Chula Vista, CA 91910-3882
Phone
(619) 373-1477
Fax
(619) 334-2288
NPI assigned
Mar 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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) 334-2224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

340 4TH Ave Ste 1
Chula Vista, CA 91910-3882

Mailing address

340 4TH Ave Ste 1
Chula Vista, CA 91910-3882
Phone (619) 373-1477

Other names 1

  • Family Pharmacy 3 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231122002906 CA Part B Supplier - Pharmacy 8123476595 Practice locations: Chula Vista, CA
O20231220002302 CA DME Supplier - Pharmacy 8123476595 Practice locations: Chula Vista, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2312404Family Pharmacy 3340 4TH Ave Ste 1, Chula Vista, CA 91910Certificate of waiverOct 9, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Family Pharmacy 3340 4TH Ave, Chula Vista, CA 91910-3882(619) 373-1477 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Surgical Dressings|Diabetic Shoes and… Accepts assignmentParticipating since Oct 25, 2023

National Provider Directory

National Provider Directory
Tax ID family
Family Pharmacy 32 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

340 Fourth Ave
Ste 1
Chula Vista, CA 91910
Phone (619) 373-1477

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": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1851095160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 4TH AVE STE 1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103882",
            "telephone_number": "619-373-1477",
            "fax_number": "619-334-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 4TH AVE STE 1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103882",
            "telephone_number": "619-373-1477",
            "fax_number": "619-334-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABIBIS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2024-07-22",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "NOOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-334-2224"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy 3",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Pharmacy 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.