NPIMap

Organization Active NPI

Ucsd Student Health Service Pharmacy

  • Student Health Clinic/Center
  • La Jolla, CA
National Provider Identifier
1922470053
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
RPH27876 Issued in CA
Legal business name
UCSD STUDENT HEALTH SERVICE PHARMACY
Practice address
9500 Gilman Dr Dept 39
La Jolla, CA 92093-0039
Phone
(858) 534-2135
Fax
(858) 534-0814
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Susan L Namba, PHARM.D.
Title
Staff Pharmacist
Phone
(858) 534-2135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X RPH27876 CA Primary

Addresses

Primary practice location

9500 Gilman Dr Dept 39
La Jolla, CA 92093-0039

Mailing address

9500 Gilman Drive, Mail Code 0039
La Jolla, CA 92093-0039
Phone (858) 534-2135

National Provider Directory

National Provider Directory
Tax ID family
Ucsd Student Health Services27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

9500 Gilman Dr
Dept 39
La Jolla, CA 92093
Phone (858) 534-1759

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1922470053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DRIVE, MAIL CODE 0039",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930039",
            "telephone_number": "858-534-2135",
            "fax_number": "858-534-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DR DEPT 39",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930039",
            "telephone_number": "858-534-2135",
            "fax_number": "858-534-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSD STUDENT HEALTH SERVICE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "NAMBA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "858-534-2135",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CA",
            "license": "RPH27876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.