Organization Active NPI

St Mary & St Philomena Inc

Doing business as Seaside Pharmacy

  • Community/Retail Pharmacy
  • San Pedro, CA
National Provider Identifier
1912557448
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ST MARY & ST PHILOMENA INC
Doing business as
Seaside Pharmacy
Practice address
599 W 7TH St
Suite a
San Pedro, CA 90731-3115
Phone
(310) 833-3551
Fax
(310) 833-3552
NPI assigned
Sep 17, 2019
Last updated
Mar 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Afifa Wahba Soliman, PHARM D
Title
President/Ceo/Cfo/Secretary/Directo
Phone
(323) 467-1084

Specialties & licenses 1

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

Addresses

Primary practice location

599 W 7TH St
Suite a
San Pedro, CA 90731-3115

Mailing address

599 W 7TH St
Suite a
San Pedro, CA 90731-3115
Phone (310) 833-3551

Other names 1

  • SEASIDE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

599 W 7th St
Ste A
San Pedro, CA 90731
Phone (310) 833-3551

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": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1912557448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 W 7TH ST",
            "address_2": "SUITE A",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313115",
            "telephone_number": "310-833-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 W 7TH ST",
            "address_2": "SUITE A",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313115",
            "telephone_number": "310-833-3551",
            "fax_number": "310-833-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY & ST PHILOMENA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "AFIFA",
        "authorized_official_middle_name": "WAHBA",
        "authorized_official_title_or_position": "PRESIDENT/CEO/CFO/SECRETARY/DIRECTO",
        "authorized_official_telephone_number": "323-467-1084",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEASIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.