DEL SUR PHARMACY (NPI# 1831628692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831628692 |
| Entity Type | Organization |
| Organization Name | DEL SUR PHARMACY |
| Other Organization Name | FAIRBANKS PHARMACY |
| Practice Address |
16089 San Dieguito Rd H102 Rancho Santa Fe CA 92067 |
| Mailing Address |
Po Box 9227 Rancho Santa Fe CA 92067-4227 |
| Practice Telephone | 8587596625 |
| Practice Fax Number | 8587596729 |
| Mailing Telephone | 8587596625 |
| Mailing Fax Number | 8587596729 |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2018-04-18 |
| Authorized Official Name | BERNARD GRAMLICH (CEO) |
| Authorized Official Telephone | 8587596625 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY55594 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1831628692 | 05 | |
| PK | 2169647 | 01 |
| Other Name | Type Code |
|---|---|
| Fairbanks Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215434873 | Del Sur Pharmacy | Pharmacy | 16089 San Dieguito Rd # H102, Rancho Santa Fe, CA 92067-9529 | 2018-04-10 |
| Street Address |
16089 SAN DIEGUITO RD H102 |
| City | RANCHO SANTA FE |
| State | CA |
| Zip Code | 92067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780227918 | Fairbanks Medical Group | Clinic/Center | 16089 San Dieguito Rd, H102, Rancho Santa Fe, CA 92067 | 2019-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467979377 | Taylor Duncan | Chiropractor | 18025 Calle Ambiente Suite 204, Rancho Santa Fe, CA 92067 | 2017-08-23 |
| 1295286714 | Tharaknath Rao | Internal Medicine | 14767 Calle Carla, Rancho Santa Fe, CA 92067 | 2016-10-19 |
| 1861885295 | Kenneth Widder | Pathology | 16231 El Camino Real, Rancho Santa Fe, CA 92067 | 2015-03-10 |
| 1164869962 | Gary Lee Nobbel | Plastic Surgery | 5002 Linea Del Cielo, Rancho Santa Fe, CA 92067 | 2013-06-03 |
| 1104187137 | Leslie Buncher | Obstetrics & Gynecology | 6225 San Elijo, Rancho Santa Fe, CA 92067 | 2012-06-06 |
| 1316213440 | Ahmad Mehran | Obstetrics & Gynecology | 16818 Circa Del Norte, Rancho Santa Fe, CA 92067 | 2012-03-22 |
| 1598030025 | Fernald William Wentzell | Specialist | 5407 Linea Del Cielo, Rancho Santa Fe, CA 92067 | 2012-03-16 |
| 1013211754 | Deborah Leah Goodman | Preventive Medicine | 5725 Loma Verde Drive, Rancho Santa Fe, CA 92067 | 2011-01-10 |
| 1972736445 | Herbert Nathaniel Weissman | Psychologist | 6896 Farms View Court, Rancho Santa Fe, CA 92067 | 2009-08-31 |
| 1740416874 | Daniele Andree Vecchio | Pediatrics | 5621 Lago Lindo, Rancho Sant Fe, CA 92067 | 2009-06-03 |
| Find all providers in zip 92067 | ||||
| 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 |
|---|---|---|---|---|
| 1598790339 | Obj Inc | Pharmacy | 6056 El Tordo, Rancho Santa Fe, CA 92067-1188 | 2006-07-11 |
| 1174853113 | Rsf Pharmacy Inc | Pharmacy | 6056 El Tordo, Rancho Santa Fe, CA 92067-1188 | 2010-01-13 |
| 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 | ||||
| City | RANCHO SANTA FE |
| Zip Code | 92067 |
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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.