Active NPI
Double Star Pharmacy Inc
- Pharmacy
- El Cajon, CA
National Provider Identifier
1902104367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 50509
- Legal business name
- DOUBLE STAR PHARMACY INC
- Practice address
- 330 S Magnolia Ave Ste 102
El Cajon, CA 92020-5221 - Phone
- (619) 334-3307
- NPI assigned
- Mar 9, 2011
- 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
- Mrs. Jenan Almansour
- Title
- Vice-President / Pharmacist
- Phone
- (619) 334-3307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 50509 | CA | Primary |
Addresses
Primary practice location
330 S Magnolia Ave Ste 102
El Cajon, CA 92020-5221
Mailing address
330 S Magnolia Ave Ste 102
El Cajon, CA 92020-5221
Phone (619) 334-3307
Other names 1
- El Cajon Express Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299628800000",
"number": "1902104367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 S MAGNOLIA AVE STE 102",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920205221",
"telephone_number": "619-334-3307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 S MAGNOLIA AVE STE 102",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920205221",
"telephone_number": "619-334-3307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUBLE STAR PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-09",
"last_updated": "2011-03-09",
"status": "A",
"authorized_official_last_name": "ALMANSOUR",
"authorized_official_first_name": "JENAN",
"authorized_official_title_or_position": "VICE-PRESIDENT / PHARMACIST",
"authorized_official_telephone_number": "619-334-3307",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "50509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "El Cajon Express Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.