Active NPI
Medicine Made Easy
- Pharmacy
- San Diego, CA
National Provider Identifier
1891743969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY 50171
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA 50171 | Medicaid | CA | |
| 0500872 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| PHY 50171 | Other | CA | STATE LICENSE |
Other names 1
- PRIORITY PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Medicine Made Easy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialty Pharmacy
- Los Angeles, CA
- NPI 1598723579
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
- Medical Center Pharmacy
- Medical Equipment Device Specialists
- Medical Oncology Associates of San Diego a Medical Group Inc
- Medical Rehab Supply, Inc
- Medical Support Los Angeles a Medical Corporation
- Medicine of the Peace Corp.
- Medicine World Inc
- Medicity Transportation Service LLC
- Medicus MD Inc
- Lovella Medilo, NP
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.