SAN DIEGO COMPOUNDING PHARMACY
NPI 1730257593
Pharmacy - Community/Retail Pharmacy in San Diego, CA

NPI Status: Active since December 01, 2006

Contact Information

5395 RUFFIN ROAD
#104
SAN DIEGO, CA
ZIP 92123
Phone: (858) 277-8884
Fax: (858) 277-8889

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About SAN DIEGO COMPOUNDING PHARMACY

This page provides the complete NPI Profile along with additional information for San Diego Compounding Pharmacy, a provider established in San Diego, California operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1730257593 assigned on December 2006. The practitioner's primary taxonomy code is 3336C0003X with license number PHY99276 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jerome Alan Greene Rph Faca (Pharmacist Owner)

NPI
1730257593
Provider Name
SAN DIEGO COMPOUNDING PHARMACY
Entity Type
Organization
Location Address
5395 RUFFIN ROAD #104 SAN DIEGO, CA 92123
Location Phone
(858) 277-8884
Location Fax
(858) 277-8889
Mailing Address
5395 RUFFIN ROAD #104 SAN DIEGO, CA 92123
Mailing Phone
(858) 277-8884
Mailing Fax
(858) 277-8889
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
PHY99276
License State
CA
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEROME ALAN GREENE RPH FACA

Authorized Official Title
PHARMACIST OWNER
Authorized Official Phone
(858) 277-8884

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1730257593
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27604514518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 4 + 5 + 1 + 4 + 5 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1730257593 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730257593, enumerated in the NPI registry as an "organization" on December 01, 2006

The provider is located at 5395 Ruffin Road #104 San Diego, Ca 92123 and the phone number is (858) 277-8884

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

This NPI record was last updated on December 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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