CSU SAN MARCOS STUDENT HEALTH SRV PHY (NPI# 1831265933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831265933 |
| Entity Type | Organization |
| Organization Name | CSU SAN MARCOS STUDENT HEALTH SRV PHY |
| Other Organization Name | CSU SAN MARCOS SHCS PHARMACY |
| Practice Address |
333 S Twin Oaks Valley Rd Bldg 21 San Marcos CA 92096-0001 |
| Practice Telephone | 7607504021 |
| Practice Fax Number | 7607503181 |
| Mailing Telephone | 7607504021 |
| Mailing Fax Number | 7607503181 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2015-05-20 |
| Authorized Official Name | KAREN NICHOLSON (DIRECTOR) |
| Authorized Official Telephone | 7607504920 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PHE53294 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1993413 | 01 |
| Other Name | Type Code |
|---|---|
| CSU SAN MARCOS SHCS PHARMACY | Doing Business As Name - Organization |
| Street Address |
333 S TWIN OAKS VALLEY RD BLDG 21 |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92096-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669897963 | Mary Lelia Baker | Nurse Practitioner | Csusm School of Nursing, Student Healthcare Project 333 S. Twin Oaks Valley Road, San Marcos, CA 92096-0001 | 2014-02-23 |
| 1902073265 | Ghazala Amjad Rehan | Psychiatry & Neurology | Student Health & Counselling Services, California State University San Marcos, San Marcos, CA 92096-0001 | 2008-05-14 |
| 1619195245 | Lisa Catherine Sheehan | Nurse Practitioner | 333twin Oaks Valley Rd, San Marcos, CA 92096-0001 | 2007-04-20 |
| 1437235496 | Kathleen Carol Blattner | Nurse Practitioner | 333 S Twin Oaks Valley Rd, San Marcos, CA 92096-0001 | 2006-10-31 |
| 1679668297 | Karen D Nicholson | Preventive Medicine | 333 S. Twin Oaks Valley Rd, Cal State San Marcos Shcs, San Marcos, CA 92096-0001 | 2006-10-03 |
| 1396856837 | Steven Rar Bates | Family Medicine | Cal State San Marcos, Student Health and Counseling Services, San Marcos, CA 92096-0001 | 2006-08-31 |
| 1841304128 | Rupinderjit K Jadav | Nurse Practitioner | 777 S Twin Oaks Valley Rd, San Marcos, CA 92096-0001 | 2006-08-17 |
| 1306472352 | Melissa Selin Guney Fryan | Specialist/Technologist | 333 S Twin Oaks Valley Rd, San Marcos, CA 92096-0001 | 2020-03-20 |
| 1962041079 | Jamie Elizabeth Hibbert | Specialist/Technologist | 333 S Twin Oaks Valley Rd, San Marcos, CA 92096-0001 | 2020-01-06 |
| 1184118150 | Nika Naddaf | Student in an Organized Health Care Education/Training Program | 333 S Twin Oaks Valley Rd, San Marcos, CA 92096-0001 | 2018-06-21 |
| Find all providers in zip 92096 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1669509824 | North County Health Project, Inc. | Pharmacy | 150 Valpreda Rd, San Marcos, CA 92069-2973 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491180 | Omni Family Health | Pharmacy | 4646 N. 1st Street, Fresno, CA 93726-0973 | 2020-09-11 |
| 1083240048 | Michael Anthony Abram | Pharmacy | 3240 Beck Rd, Lompoc, CA 93436-8301 | 2020-03-20 |
| 1043843428 | Community Medical Centers Inc | Pharmacy | 7912 West Lane, Ste. 221, Room 102, Stockton, CA 95210-3159 | 2020-02-13 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1447616198 | Beverly Hills Wellness Physicians Corp | Pharmacy | 1703 N Avalon Blvd, Wilmington, CA 90744-1432 | 2016-01-11 |
| 1700242419 | Pacific Rejuvination Medical A Professional Corp | Pharmacy | 7230 Medical Center Dr Ste 100, West Hills, CA 91307-4001 | 2016-01-11 |
| 1174923684 | Planned Parenthood Mar Monte, Inc. | Pharmacy | 1032 A Street, Hayward, CA 94541-4106 | 2014-09-03 |
| 1306263264 | University of Southern California | Pharmacy | 830 S Flower St, Los Angeles, CA 90017-4608 | 2014-03-27 |
| 1730428293 | Mission City Community Network Inc | Pharmacy | 8527 Sepulveda Blvd Ste 131, North Hills, CA 91343-5824 | 2013-02-04 |
| 1700158797 | Van Masteranna Billing Service, Inc | Pharmacy | 22631 Pacific Coast Hwy # 793, Malibu, CA 90265-5036 | 2012-02-06 |
| Find all providers with the same taxonomy | ||||
| City | SAN MARCOS |
| Zip Code | 92096 |
Please comment or provide details below to improve the information on CSU SAN MARCOS STUDENT HEALTH SRV PHY.
| 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.