Linda Vista Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

LINDA VISTA PHARMACY

Practice address

2361 Ulric St
San Diego, CA 92111-6402

Phone

(858) 277-6147

Fax

(858) 277-6146

NPI assigned

Jan 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tien Quang Bui, R.PH.

Title

Owner

Phone

(858) 277-6147

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1871571307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 ULRIC ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921116402",
            "telephone_number": "858-277-6147",
            "fax_number": "858-277-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 ULRIC ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921116402",
            "telephone_number": "858-277-6147",
            "fax_number": "858-277-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA VISTA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "TIEN",
        "authorized_official_middle_name": "QUANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-277-6147",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA338550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Lincoln, PH.D.
• Barron Luke Lincoln II
• Denise Ruth Lincoln
• Joan Rae Lind, LCSW
• Linda Vista Manor, Inc.
• Laurie Lindamer
• Dana Lindberg, DPT
• Erin Lindberg
• Robert Ivar Lindbloom
• Sarah Ann Lindborg

• Pharmacy in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacy in California

• 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.