Polaris Pharmacy Services of San Diego, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

POLARIS PHARMACY SERVICES OF SAN DIEGO, LLC

Practice address

3821 Calle Fortunada Ste D
San Diego, CA 92123-4811

Phone

(619) 878-6188

Fax

(619) 795-0716

NPI assigned

Sep 1, 2022

Organization subpart

No

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

Authorized official

Name

Gina Hunt

Title

National Director of Billing & Reim

Phone

(800) 589-9747

Specialties & licenses 1

Addresses

Other names 1

• Polaris Pharmacy Services Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1881314474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 NW 60TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091774",
            "telephone_number": "800-589-9747",
            "fax_number": "954-923-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 CALLE FORTUNADA STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234811",
            "telephone_number": "619-878-6188",
            "fax_number": "619-795-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS PHARMACY SERVICES OF SAN DIEGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "NATIONAL DIRECTOR OF BILLING & REIM",
        "authorized_official_telephone_number": "800-589-9747"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polaris Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Indira Ann Polan, OT
• Karyme Polanco
• Marcela Polanco
• Myesha Poland
• Jerrold S Polansky, M.D.
• Elena Polejaeva, PH.D.
• Larissa Jean Poles, PA-C
• Amelia Shamsi Polheber, FNP-BC
• Matthew Poliakoff, D.O
• Raymond M. Poliakoff, MD

• Long Term Care Pharmacy in San Diego, CA
• Providers in San Diego, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.