Organization Active NPI

Semca Pharmacy

  • Pharmacy
  • San Diego, CA
National Provider Identifier
1992889323
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY409470 Issued in CA
Legal business name
SEMCA PHARMACY
Practice address
286 Euclid Ave
Ste 206
San Diego, CA 92114-3610
Phone
(619) 263-6635
Fax
(619) 263-4686
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark Leroy Dimry, RPH
Title
Pharmacist/Vice President
Phone
(619) 263-6635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY409470 CA Primary

Addresses

Primary practice location

286 Euclid Ave
Ste 206
San Diego, CA 92114-3610

Mailing address

286 Euclid Ave
Ste 206
San Diego, CA 92114-3610
Phone (619) 263-6635

Other identifiers 1

IdentifierTypeStateIssuer
PHY409470OtherCAPHARMACY LIC NUMBER

National Provider Directory

National Provider Directory

Locations

286 Euclid Ave
Ste 206
San Diego, CA 92114
Phone (619) 819-2200

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992889323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 EUCLID AVE",
            "address_2": "STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921143610",
            "telephone_number": "619-263-6635",
            "fax_number": "619-263-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 EUCLID AVE",
            "address_2": "STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921143610",
            "telephone_number": "619-263-6635",
            "fax_number": "619-263-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMCA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIMRY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PHARMACIST/VICE PRESIDENT",
        "authorized_official_telephone_number": "619-263-6635",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY409470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LIC NUMBER",
            "identifier": "PHY409470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.