Organization · Type 2 NPI

Smartcaremd Practice Management LLC

Non-Pharmacy Dispensing Site · Oceanside, CA

NPI number 1154778157 Active

Practice location

3142 Vista Way, Suite 100
Oceanside, CA 92056-3619

Call (866) 228-2236 Map

Mailing address

9276 Scranton Rd, Suite 100
San Diego, CA 92121-7701

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	A112617 (CA)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

33 other providers at this address

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NPI record

NPI: 1154778157
Entity type: Organization (Type 2)
Issued: May 19, 2016
Last updated: Nov 11, 2024
Status: Active
Subpart: Yes of Medvantx, Inc.

Other names

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Graybill Medical Group- Oceanside Urgent Care · doing business as
Graybill Medical Group- Oceanside Urgent Care · doing business as

Authorized official

Kenny Heine
VP of Operations
(858) 964-1506

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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 1154778157

Smartcaremd Practice Management LLC's National Provider Identifier is 1154778157, issued on May 19, 2016. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Oceanside, CA. The record was last updated on Nov 11, 2024.