Organization Active NPI

Irx Pharmacy South Inc.

Doing business as Carmel Valley Pharmacy

  • Community/Retail Pharmacy
  • San Diego, CA
National Provider Identifier
1902235047
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
IRX PHARMACY SOUTH INC.
Doing business as
Carmel Valley Pharmacy
Practice address
12750 Carmel Country Rd Ste a-201
San Diego, CA 92130-2159
Phone
(858) 481-4990
Fax
(858) 481-4949
NPI assigned
Nov 8, 2013
Last updated
Jan 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Mercy Elansary
Title
Owner
Phone
(858) 481-4990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

12750 Carmel Country Rd Ste a-201
San Diego, CA 92130-2159

Mailing address

12750 Carmel Country Rd
Suite A101
San Diego, CA 92130-2159
Phone (858) 481-4990

Other names 1

  • Carmel Valley Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carmel Valley Pharmacy2 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.

Locations

12750 Carmel Country Rd
Ste A201
San Diego, CA 92130
Phone (858) 481-4990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1902235047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 CARMEL COUNTRY RD",
            "address_2": "SUITE A101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302159",
            "telephone_number": "858-481-4990",
            "fax_number": "858-481-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 CARMEL COUNTRY RD STE A-201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302159",
            "telephone_number": "858-481-4990",
            "fax_number": "858-481-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRX PHARMACY SOUTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "ELANSARY",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-481-4990"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmel Valley 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 Jan 21, 2025; 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.