PACIFICO WEST RX, INC. (NPI# 1811445646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811445646 |
| Entity Type | Organization |
| Organization Name | PACIFICO WEST RX, INC. |
| Other Organization Name | PURESCIENCERX |
| Practice Address |
15644 Pomerado Rd Suite 303 Poway CA 92064-2400 |
| Practice Telephone | 8587262614 |
| Mailing Telephone | 8587262614 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-23 |
| Authorized Official Name | CINDY JUSTICE (PRESIDENT) |
| Authorized Official Telephone | 8587262614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| PureScienceRx | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PACIFICO WEST RX, INC. | One Commerce Plaza - 99 Washington Ave., Suite 805-a, Albany, Ny 122102822 |
| Street Address |
15644 POMERADO RD SUITE 303 |
| City | POWAY |
| State | CA |
| Zip Code | 92064-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578529731 | Paul Neustein | Urology | 15644 Pomerado Rd, Suite 206, Poway, CA 92064-2400 | 2006-04-25 |
| 1720565526 | Kimberly Nicole Skillicorn | Psychologist | 15644 Pomerado Rd, Poway, CA 92064-2400 | 2018-07-24 |
| 1164885869 | Lauren Elisabeth Pichard | Psychologist | 15644 Pomerado Rd, Suite 305, Poway, CA 92064-2400 | 2016-03-30 |
| 1285090902 | Jocelyn Moll | Nurse Practitioner | 15644 Pomerado Rd, Ste 206, Poway, CA 92064-2419 | 2016-01-11 |
| 1922485176 | Janet Wells | Acupuncturist | 15644 Pomerado Rd, Suite 306, Poway, CA 92064-2419 | 2015-04-27 |
| 1811399660 | Katherine Fleming | Physician Assistant | 15644 Pomerado Rd, Suite 202, Poway, CA 92064-2400 | 2014-09-24 |
| 1467882779 | Thrive Rx Specialty Pharmacy Corporation | Pharmacy | 15644 Pomerado Rd, Suite 303, Poway, CA 92064-2400 | 2013-11-22 |
| 1346675618 | Resetsleepcom Inc | Clinic/Center | 15644 Pomerado Rd, Suite 200, Poway, CA 92064-2400 | 2013-09-05 |
| 1508203506 | Maryna Blom | Pharmacist | 15644 Pomerado Rd, Suite 303, Poway, CA 92064-2400 | 2013-05-30 |
| 1982900973 | Mission Infectious Disease & Infusion Consultants Inc | Internal Medicine | 15644 Pomerado Rd, Suite 202, Poway, CA 92064-2400 | 2011-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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] |
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| 1013418862 | Pharmedquest Pharmacy Services | Pharmacy | 330 E Lambert Rd Ste 120, Brea, CA 92821-4100 | 2018-02-27 |
| 1295248524 | Nyrali LLC | Pharmacy | 5541 Van Buren Blvd, Riverside, CA 92503-2068 | 2017-11-08 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1699227983 | Landmark Pharma Inc | Pharmacy | 1113 Alta Ave Ste 100, Upland, CA 91786-2804 | 2016-11-02 |
| 1548713050 | Profusion LLC | Pharmacy | 7250 Engineer Rd Ste D, San Diego, CA 92111-1420 | 2016-08-02 |
| 1659824837 | Borrego Community Health Foundation | Pharmacy | 68555 Ramon Rd Bldg D, Cathedral City, CA 92234-3310 | 2016-07-25 |
| Find all providers with the same taxonomy | ||||
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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.