Organization Active NPI

Chulavista Pharmacy LLC

  • Long Term Care Pharmacy
  • Chula Vista, CA
National Provider Identifier
1992687909
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CHULAVISTA PHARMACY LLC
Practice address
384 H St Ste 100
Chula Vista, CA 91910-5513
Phone
(619) 781-8177
NPI assigned
Jul 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Elvis Atencio, PHARMD
Title
Pharmacist/Partner
Phone
(619) 781-8177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

384 H St Ste 100
Chula Vista, CA 91910-5513

Mailing address

384 H St Ste 100
Chula Vista, CA 91910-5513
Phone (619) 781-8177

Other names 1

  • Chulavista Pharmacy LLC LTC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1992687909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 H ST STE 100",
            "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 STE 100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105513",
            "telephone_number": "619-781-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHULAVISTA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "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_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chulavista Pharmacy LLC LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.