MATDAN LJ, INC (NPI# 1083058309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083058309 |
| Entity Type | Organization |
| Organization Name | MATDAN LJ, INC |
| Other Organization Name | MERCY CARE PHARMACY |
| Practice Address |
488 E Valley Pkwy Ste 101 Escondido CA 92025-3324 |
| Mailing Address |
2401 Soledad Ct La Jolla CA 92037-7041 |
| Practice Telephone | 7602940014 |
| Mailing Telephone | 8583363624 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |
| Authorized Official Name | MR. BASSAM HANNA MASSAAD (OWNER/PIC) |
| Authorized Official Telephone | 8583363624 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Mercy Care Pharmacy | Doing Business As Name - Organization |
| Street Address |
488 E VALLEY PKWY STE 101 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | 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 located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659826501 | Hospicare Pharmacy San Diego | Pharmacy | 910 E Ohio Ave Ste 101a, Escondido, CA 92025-3439 | 2016-08-22 |
| 1437538691 | Cjmbs Pharmacies Inc | Pharmacy | 125 W Mission Ave Ste 105, Escondido, CA 92025-1721 | 2015-05-21 |
| 1487849246 | C & A Medical 1 | Pharmacy | 528 N Broadway, Escondido, CA 92025-2720 | 2007-09-13 |
| 1457362949 | Cwl Pharmacies Inc | Pharmacy | 757 E Valley Pkwy, Escondido, CA 92025-3009 | 2006-08-10 |
| 1962402164 | Dr Gram Pharmacy, Inc. | Pharmacy | 909 E Valley Pkwy, Escondido, CA 92025-3428 | 2005-07-28 |
| 1235782590 | California Centers for Psychiatric Wellness and Health | Pharmacy | 160 N Date St, Escondido, CA 92025-3406 | 2019-07-16 |
| 1831435668 | Dr Gram Pharmacy Inc | Pharmacy | 911 E Valley Pkwy, Escondido, CA 92025-3428 | 2012-12-26 |
| 1730432469 | Lc San Diego LLC | Pharmacy | 1955 Citracado Pkwy, Ste 101, Escondido, CA 92029-4110 | 2012-10-18 |
| 1962730044 | Matdan Lj Inc | Pharmacy | 488 E Valley Pkwy, Ste 101, Escondido, CA 92025-3363 | 2009-11-30 |
| 1902953235 | Kaiser Foundation Health Plan Inc | Pharmacy | 732 N Broadway, Escondido, CA 92025-1870 | 2007-01-05 |
| Find all providers in ESCONDIDO | ||||
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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.