THEOTOKOS, LLC (NPI# 1326551003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326551003 |
| Entity Type | Organization |
| Organization Name | THEOTOKOS, LLC |
| Other Organization Name | PURECARE PHARMACY |
| Practice Address |
5550 Carmel Mountain Rd Ste 111 San Diego CA 92130 |
| Mailing Address |
5550 Carmel Mountain Rd Ste 111 San Diego CA 92130-4861 |
| Practice Telephone | 5592801285 |
| Mailing Telephone | 8589256149 |
| Mailing Fax Number | 8589256146 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2018-10-25 |
| Authorized Official Name | MINA SAID (MANAGER) |
| Authorized Official Telephone | 8589256149 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 55934 | CA | Suppliers |
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
55934 | CA | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
55934 | CA | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
55934 | CA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
55934 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Pure Care Pharmacy | Doing Business As Name - Organization |
| PureCare Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THEOTOKOS, LLC | 19100 Ne 21st St, Vancouver, WA 98684 |
| Iowa Business Entities | THEOTOKOS, LLC | 1810 Hwy 191, Earling, IA 51530 |
| Street Address |
5550 CARMEL MOUNTAIN RD STE 111 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720560576 | Mina Said | Pharmacist | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130-4861 | 2018-08-29 |
| 1619458262 | Randa Said | Pharmacist | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130-4861 | 2018-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| 1639566565 | John C. Nosti, D.d.s. Inc. | Dentist | 5965 Village Way, Suite E-206, San Diego, CA 92130 | 2015-04-17 |
| Find all providers in zip 92130 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1710520960 | Art Fertility LLC | Pharmacy | 11568 Sorrento Valley Rd Ste 12, San Diego, CA 92121-1313 | 2019-10-21 |
| 1043782022 | Med Specialty Sai Inc | Pharmacy | 4153 University Ave Ste B, San Diego, CA 92105-1421 | 2019-01-01 |
| 1184139834 | Eldahmy Wellness Pharmacy Inc. | Pharmacy | 1985 National Ave Ste 1103, San Diego, CA 92113-2155 | 2017-12-04 |
| 1154835973 | Majestic Pharmacy Inc | Pharmacy | 7283 Engineer Rd Ste D, San Diego, CA 92111-1414 | 2017-12-01 |
| 1730634098 | Med Specialty Sai Inc. | Pharmacy | 4153 University Avenue, Suite B, San Diego, CA 92105 | 2016-08-16 |
| 1043675366 | Tu-uyen Le | Pharmacy | 3081-b Clairemont Drive, San Diego, CA 92117 | 2015-12-31 |
| 1285003442 | Walgreens | Pharmacy | 7937 Hendricks Dr, San Diego, CA 92126-3538 | 2015-09-17 |
| 1376933820 | Walgreen Co | Pharmacy | 602 Euclid Ave, San Diego, CA 92114-2207 | 2015-02-04 |
| 1639567605 | Wellnessrx Pharmacy Corporation | Pharmacy | 5971 University Ave, Suite 304, San Diego, CA 92115-6335 | 2014-12-29 |
| Find all providers in SAN DIEGO | ||||
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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.