Organization · Type 2 NPI

Scripps Health

Pharmacy · San Diego, CA

NPI number 1043665425 Active

Practice location

4060 4th Ave., Suite 110
San Diego, CA 92103-2116

Call (858) 678-7111 Map

Fax (858) 678-6663

Mailing address

10790 Rancho Bernardo Rd., 2nd Fl.
San Diego, CA 92127-5705

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	PHY54317 (CA)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

Another provider at this address

Lila L. Schmidt, M.d., IncGynecology Physician San Diego, CA NPI 1467417956

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NPI record

NPI: 1043665425
Entity type: Organization (Type 2)
Issued: May 4, 2016
Last updated: Feb 19, 2020
Status: Active
Subpart: Yes of Scripps Health

Other names

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Scripps Health Mercy Ambulatory Pharmacy · doing business as
Scripps Health Mercy Ambulatory Pharmacy · doing business as

Authorized official

Mr. Richard Rothberger
EVP/cfo
(858) 678-6828

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043665425

Scripps Health's National Provider Identifier is 1043665425, issued on May 4, 2016. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in San Diego, CA. The record was last updated on Feb 19, 2020.