WESTERN PHARMACY GROUP LLC (NPI# 1265077283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265077283 |
| Entity Type | Organization |
| Organization Name | WESTERN PHARMACY GROUP LLC |
| Practice Address |
610 Gateway Center Way Ste H-i San Diego CA 92102-4533 |
| Mailing Address |
851 Coho Way Ste 312 Bellingham WA 98225-2066 |
| Practice Telephone | 3606854263 |
| Mailing Telephone | 3606854263 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| Authorized Official Name | KEVIN FARIS (CEO) |
| Authorized Official Telephone | 3606854282 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN PHARMACY GROUP LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Medical Center Pharmacy LTC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750399739 | Western Pharmacy Group LLC | Durable Medical Equipment & Medical Supplies | 286 Euclid Ave Ste 206, San Diego, CA 92114-3612 | 2006-08-04 |
| 1821395609 | Western Pharmacy Group LLC | Durable Medical Equipment & Medical Supplies | 610 Gateway Center Way, Ste A, San Diego, CA 92102-4533 | 2011-02-14 |
| 1316194525 | Western Pharmacy Group LLC | Durable Medical Equipment & Medical Supplies | 2995 National Ave, San Diego, CA 92113-2419 | 2008-08-20 |
| 1063671535 | Western Pharmacy Group LLC | Durable Medical Equipment & Medical Supplies | 3904 Park Blvd, San Diego, CA 92103-3502 | 2008-06-09 |
| 1306005079 | Western Pharmacy Group LLC | Durable Medical Equipment & Medical Supplies | 4074 Fairmount Ave, San Diego, CA 92105-1608 | 2008-06-06 |
| 1144333469 | Western Pharmacy Group LLC | Durable Medical Equipment & Medical Supplies | 340 4th Ave, Ste 1, Chula Vista, CA 91910-3813 | 2006-08-17 |
| 1326152661 | Western Pharmacy Group LLC | Pharmacy | 480 4th Ave, Chula Vista, CA 91910-4410 | 2006-08-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WESTERN PHARMACY GROUP LLC | 851 Coho Way, Suite 312, Bellingham, WA 98225-2066 |
| Street Address |
610 GATEWAY CENTER WAY STE H-I |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92102-4533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766698 | Daniela Tablas | Behavioral Analyst | 303 47th St Spc D-22, San Diego, CA 92102 | 2020-09-30 |
| 1649745712 | Juliet Lao Kurek | Pharmacist | 2121 Imperial Avenue, San Diego, CA 92102 | 2018-10-04 |
| 1851887020 | Monique Joseph | Counselor | 2410 E. Street, San Diego, CA 92102 | 2018-07-10 |
| 1184166316 | Elise Blanton-hubbard | Counselor | 1850 Dale St, San Diego, CA 92102 | 2016-11-04 |
| 1699221416 | Kari Judith Medina | Student in an Organized Health Care Education/Training Program | 1199 34th Street Apt 11, San Diego, CA 92102 | 2016-08-31 |
| 1942674536 | Caitlin Hillary Dablow | Speech-Language Pathologist | 1201 34th Street, San Diego, CA 92102 | 2015-11-19 |
| 1134508179 | Jonathan Waters | Military Health Care Provider | 1233 22nd Street, Unit 8, San Diego, CA 92102 | 2015-05-22 |
| 1871989913 | Abraham Greenberg | Pediatrics | 15 Balfour Street, Jerusalem, ISRAEL 92102 | 2015-04-15 |
| 1023421021 | Elmira Aghdam | Chiropractor | 5030 Bonita Rd Ste#b, Bonita, CA 92102 | 2014-06-06 |
| 1487092540 | Sherry Scott | Marriage & Family Therapist | 995 Gateway Center Drive #300, San Diego, CA 92102 | 2013-06-11 |
| Find all providers in zip 92102 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
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| 1932332343 | Rezcare Pharmacy Inc. | Pharmacy | 3821 Calle Fortunada Ste D, San Diego, CA 92123-4811 | 2009-09-01 |
| 1588734123 | Evergreen Pharmaceutical of California, Inc. | Pharmacy | 5601 Oberlin Dr, Suite 124, San Diego, CA 92121-3747 | 2006-11-09 |
| 1295367761 | Hillcrest Pharmacy Inc | Pharmacy | 120 University Ave, San Diego, CA 92103-3007 | 2020-02-12 |
| 1427499128 | Rty Pharmaceutical Inc | Pharmacy | 5222 Balboa Ave, San Diego, CA 92117-6904 | 2013-07-10 |
| 1992861595 | Real World Enterprises | Pharmacy | 13220 Evening Creek Dr S, Suite 110, San Diego, CA 92128-4103 | 2006-12-28 |
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| 1972128676 | Maggie's Pharmacy Inc | Pharmacy | 2315 Kuehner Dr Ste 108, Simi Valley, CA 93063-3960 | 2020-06-09 |
| 1629604368 | Jafa Pharmaceuticals, Inc. | Pharmacy | 95 Montgomery Dr Ste 108, Santa Rosa, CA 95404-6617 | 2020-03-13 |
| 1083255129 | Desert Best Pharmacy, Inc. | Pharmacy | 170 E Tahquitz Canyon Way, Palm Springs, CA 92262-6431 | 2019-09-30 |
| 1538718838 | Xpress Med Pharmacy Inc | Pharmacy | 16929 Bushard St, Fountain Valley, CA 92708-2819 | 2019-09-09 |
| 1275180580 | Proscript Pharmacy Inc | Pharmacy | 7462 N Fresno St, Fresno, CA 93720-2404 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.