NPIMap

Organization Active NPI

NMC San Diego

Doing business as San DG Kearny Mesa Pharmacy

  • Military/U.S. Coast Guard Pharmacy
  • San Diego, CA
National Provider Identifier
1942307707
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
NMC SAN DIEGO
Doing business as
San DG Kearny Mesa Pharmacy
Practice address
8808 Balboa Ave
San Diego, CA 92123-1592
Phone
(619) 569-1300
Fax
(619) 532-5898
NPI assigned
Sep 20, 2006
Last updated
Jun 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NMC SAN DIEGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Mr. Hector Morales
Title
Chief Dha Posc
Phone
(210) 536-6650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Pharmacy 332000000X NU Primary

Addresses

Primary practice location

8808 Balboa Ave
San Diego, CA 92123-1592

Mailing address

8808 Balboa Ave
San Diego, CA 92123-1592
Phone (619) 569-1300

Other identifiers 1

IdentifierTypeStateIssuer
2075257OtherPK

Other names 1

  • SAN DG KEARNY MESA PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Naval Medical Center San Diego26 organizations share this tax ID, including this one
Part of
Naval Medical Center San Diego

Other organizations with this tax ID 25

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

View all 25

Locations

8808 Balboa Ave
San Diego, CA 92123
Phone (619) 645-0155

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1942307707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 BALBOA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231592",
            "telephone_number": "619-569-1300",
            "fax_number": "619-532-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8808 BALBOA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231592",
            "telephone_number": "619-569-1300",
            "fax_number": "619-532-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMC SAN DIEGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NMC SAN DIEGO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CHIEF DHA POSC",
        "authorized_official_telephone_number": "210-536-6650",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2075257",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN DG KEARNY MESA 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 Jun 30, 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.