Chulavista Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY55409 Issued in CA

Legal business name

CHULAVISTA PHARMACY LLC

Practice address

384 H St
Chula Vista, CA 91910-5513

Phone

(619) 781-8177

Fax

(619) 623-3435

NPI assigned

Jul 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Elvis Atencio, PHARMDNPI 1417342437

Title

Pharmacist/Partner

Phone

(619) 781-8177

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• CHULAVISTA PHARMACY Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elvis O Atencio, PHARM D

  • Pharmacist
  • Chula Vista, CA
  • NPI 1417342437
  NPD Authorized official
• Douglas Martin Faucher, RPH

  • Pharmacist
  • Chula Vista, CA
  • NPI 1891209151
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1942200902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 H ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105513",
            "telephone_number": "619-781-8177",
            "fax_number": "619-623-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 H ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105513",
            "telephone_number": "619-781-8177",
            "fax_number": "619-623-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHULAVISTA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "ATENCIO",
        "authorized_official_first_name": "ELVIS",
        "authorized_official_title_or_position": "PHARMACIST/PARTNER",
        "authorized_official_telephone_number": "619-781-8177",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "05-79435",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2004678",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF PHARMACY PERMIT",
            "identifier": "PHY55409",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER",
            "identifier": "1942200902",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHULAVISTA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chula Vista Imaging
• Chula Vista Internal Medicine & Cardiology Medical Group
• Chula Vista OB Hospitalist Group Inc
• Chula Vista Periodontics
• Chula Vista Womens Care Inc
• Chulavista Pharmacy LLC
• Andrew Kyuchan Chung
• David Chung
• Sumi Chung, MHS, DDS
• Ciecal RC Inc

• Community/Retail Pharmacy in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Community/Retail Pharmacy in California

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