SHARP HEALTHCARE (NPI# 1508807504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508807504 |
| Entity Type | Organization |
| Organization Name | SHARP HEALTHCARE |
| Other Organization Name | SHARP REES-STEALY PHARMACY #4 |
| Practice Address |
10243 Genetic Center Dr San Diego CA 92121-6310 |
| Mailing Address |
8695 Spectrum Center Blvd San Diego CA 92123-1489 |
| Practice Telephone | 8585266080 |
| Practice Fax Number | 8585266079 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-08-06 |
| Authorized Official Name | STACEY HROUNTAS (DIRECTOR SHARP REES-STEALY) |
| Authorized Official Telephone | 8582626003 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHARP HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY43227 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0522094 | 01 | |
| CA | MEDICARE | FLU011 | 01 |
| CA | PHA432270 | 05 |
| Other Name | Type Code |
|---|---|
| SHARP REES STEALY PHARMACY | Doing Business As Name - Organization |
| Sharp Rees-Stealy Pharmacy #4 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662596 | Sharp Healthcare | Pharmacy | 8701 Cuyamaca Street, Santee, CA 92071 | 2020-02-26 |
| 1629589858 | Sharp Healthcare | Internal Medicine | 8010 Frost St Ste 100, San Diego, CA 92123-4222 | 2017-10-16 |
| 1285089037 | Sharp Healthcare | Clinic/Center | 7947 Birmingham Dr, San Diego, CA 92123-2704 | 2016-04-29 |
| 1194050708 | Sharp Healthcare | Specialist | 8990 Miramar Road, 275, San Diego, CA 92126 | 2009-10-15 |
| 1801863329 | Sharp Healthcare | Clinical Medical Laboratory | 8010 Frost Street, 2nd Floor, San Diego, CA 92123-4284 | 2006-03-02 |
| 1780283341 | Sharp Healthcare | Clinic/Center | 5651 Copley Dr, San Diego, CA 92111-7903 | 2020-10-23 |
| 1275096521 | Sharp Healthcare | Clinical Medical Laboratory | 2020 Genesee Ave, San Diego, CA 92123-4219 | 2019-04-12 |
| 1023507506 | Sharp Healthcare | Clinical Medical Laboratory | 5651 Copley Dr, San Diego, CA 92111-7903 | 2018-05-09 |
| 1013368752 | Sharp Healthcare | General Practice | 230 Prospect Pl Ste 340b, Coronado, CA 92118-1991 | 2016-06-23 |
| 1477977932 | Sharp Healthcare | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8010 Frost St, Suite 408, San Diego, CA 92123-2778 | 2014-02-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHARP HEALTHCARE FOUNDATION | 8695 Spectrum Center Blvd, San Diego, CA 92123-1489 |
| Street Address |
10243 GENETIC CENTER DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-6310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240967 | Eric R Lovell | Emergency Medicine | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2005-07-26 |
| 1811551930 | Samantha Timanus | Physical Therapist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2019-04-24 |
| 1689169062 | Ylan Ton | Physical Therapist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2018-06-27 |
| 1861908386 | Ashley Jennifer Ennedy | Preventive Medicine | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2017-12-19 |
| 1265979744 | Hossein Manavizadeh | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2017-01-23 |
| 1821533985 | Jessica Llamas | Specialist/Technologist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-12-28 |
| 1770946543 | Jill M. Lundstrom | Pediatrics | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-03-30 |
| 1447610571 | Christina N Nakashima | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-03-02 |
| 1033578661 | Patricia Polikoff | Pharmacist | 10243 Genetic Center Dr, San Diego, CA 92121-6310 | 2016-02-10 |
| 1265859524 | Angela Sung | Psychiatry & Neurology | 10243 Genetic Center Dr, San Diego, CA 92121 | 2014-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| 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.