Organization Active NPI

Medicine Made Easy

  • Pharmacy
  • San Diego, CA
National Provider Identifier
1891743969
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY 50171 Issued in CA
Legal business name
MEDICINE MADE EASY
Practice address
3940 4TH Ave
Ste 150
San Diego, CA 92103-3193
Phone
(619) 688-2222
Fax
(619) 293-7255
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Russell J. Fichera
Title
Senior Vice President and Treasurer
Phone
(508) 297-1018

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY 50171 CA Primary
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

3940 4TH Ave
Ste 150
San Diego, CA 92103-3193

Mailing address

3940 4TH Ave
Ste 150
San Diego, CA 92103-3193

Other identifiers 3

IdentifierTypeStateIssuer
PHA 50171MedicaidCA
0500872OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PHY 50171OtherCASTATE LICENSE

Other names 1

  • PRIORITY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medicine Made Easy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1891743969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 4TH AVE",
            "address_2": "STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 4TH AVE",
            "address_2": "STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033193",
            "telephone_number": "619-688-2222",
            "fax_number": "619-293-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE MADE EASY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FICHERA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT AND TREASURER",
        "authorized_official_telephone_number": "508-297-1018"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 50171",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail 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": "PHA 50171",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0500872",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PHY 50171",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIORITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • 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.