LC SAN DIEGO LLC (NPI# 1730432469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730432469 |
Entity Type | Organization |
Organization Name | LC SAN DIEGO LLC |
Other Organization Name | PALOMAR PHARMACY |
Practice Address |
1955 Citracado Pkwy Ste 101 Escondido CA 92029-4110 |
Practice Telephone | 7602940790 |
Practice Fax Number | 7602940791 |
Mailing Telephone | 7602940790 |
Mailing Fax Number | 7602940791 |
Enumeration Date | 2012-10-18 |
Last Update Date | 2018-07-19 |
Authorized Official Name | VERA ABRAMOVA (CFO) |
Authorized Official Telephone | 5164228477 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY55614 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1730432469 | 05 | |
PK | 2168780 | 01 |
Other Name | Type Code |
---|---|
Palomar Pharmacy | Doing Business As Name - Organization |
Street Address |
1955 CITRACADO PKWY STE 101 |
City | ESCONDIDO |
State | CA |
Zip Code | 92029-4110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629071469 | Bradley Howard Chesler | Physical Medicine & Rehabilitation | 1955 Citracado Pkwy, Suite 203, Escondido, CA 92029-4110 | 2005-05-24 |
1528510930 | Chase Wagner | Nurse Practitioner | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2016-11-01 |
1881018067 | Kimberly Marie Barmack | Nurse Practitioner | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2014-02-10 |
1679825764 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 1955 Citracado Pkwy, Suite 100, Escondido, CA 92029-4110 | 2012-10-12 |
1518217330 | Arch Health Partners | Internal Medicine | 1955 Citracado Pkwy, Ste 300, Escondido, CA 92029-4110 | 2012-09-19 |
1215201108 | Maryam Balouch | Internal Medicine | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2012-02-24 |
1487892352 | Arush Arvin Patel | Orthopaedic Surgery | 1955 Citracado Pkwy, # 200, Escondido, CA 92029-4110 | 2009-01-29 |
1619174133 | Navinder Singh Sawhney | Internal Medicine | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2007-06-28 |
1114044633 | Robert Duane Frost | Physician Assistant | 1955 Citracado Pkwy, Suite 200, Escondido, CA 92029-4110 | 2007-03-22 |
1063579423 | Hidden Valley Surgical Med. Group, Inc. | Surgery | 1955 Citracado Pkwy, Suite 200, Escondido, CA 92029-4110 | 2007-01-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669839254 | Tina Lynn Sutherland | Behavioral Analyst | 1045 East Pennsylvania Ave, Escondido, CA 92029 | 2016-01-27 |
1477923373 | Aurora D'elia-verrocchi | Physician Assistant | 2185 Citracado Parkway, Escandido, CA 92029 | 2015-10-05 |
1659647436 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 1955 Citracado Pkwy Ste 102, Escondido, CA 92029 | 2012-03-27 |
1609188937 | Marvin Walter Levenson | Case Manager/Care Coordinator | 2227 Enterprise St, Escondido, CA 92029 | 2010-07-01 |
1003137258 | James H Nelson | Radiology | 3337 Avenida Hacienda, Escondido, CA 92029 | 2010-06-22 |
1265568620 | Junia P Wadia | Dentist | 1340 W Valley Pkwy, #205, Escondido, CA 92029 | 2007-02-27 |
1225186232 | Paul Brian Volpp | Radiology | 2125 Citricado Pkwy, #110, Dept of Radiation Oncology, Escondido, CA 92029 | 2007-01-08 |
1679620231 | Alan David Will | Optometrist | 1264-a Auto Pkwy, Escondido, CA 92029 | 2007-01-05 |
1891842530 | Ngoc Mong Hoang Nguyen | Optometrist | 1264 Auto Pkwy, Ste A, Escondido, CA 92029 | 2007-01-04 |
1073608089 | Margaret Mauleon Novicio | Dentist | 3440 Del Lago Blvd, Suite C, Escondido, CA 92029 | 2006-10-04 |
Find all providers in zip 92029 |
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 |
---|---|---|---|---|
1346705175 | Paragon Pharmacy Services Inc | Pharmacy | 1111 E Washington Ave Ste C, Escondido, CA 92025-2226 | 2019-02-06 |
1275835332 | Felicita Pharmacy | Pharmacy | 625 W Citracado Pkwy Ste 106, Escondido, CA 92025-6428 | 2010-11-23 |
1619912417 | Garfield Beach Cvs LLC | Pharmacy | 2427 E Valley Pkwy, Escondido, CA 92027-2932 | 2006-06-17 |
1477597748 | Garfield Beach Cvs LLC | Pharmacy | 1655 S Centre City Pkwy, Escondido, CA 92025-6068 | 2006-06-16 |
1245649904 | Palomar Health | Pharmacy | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2014-08-07 |
1609201706 | Escondido Pharmacy and Dme Inc | Pharmacy | 909 E Valley Pkwy, Escondido, CA 92025-3428 | 2013-09-08 |
1316011836 | C and A Medical Inc | Pharmacy | 488 E Valley Pkwy, Ste 101, Escondido, CA 92025-3363 | 2006-11-17 |
1427093327 | Garfield Beach Cvs LLC | Pharmacy | 318 W El Norte Pkwy, Escondido, CA 92026-1925 | 2006-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on LC SAN DIEGO LLC.
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.