SAN PEDRO PHARMACY
NPI 1750335790
Pharmacy - Community/Retail Pharmacy in San Pedro, CA

NPI Status: Active since May 22, 2006

Contact Information

1360 W 6TH ST
SUITE 115
SAN PEDRO, CA
ZIP 90732
Phone: (310) 831-0155
Fax: (310) 831-6654

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About SAN PEDRO PHARMACY

This page provides the complete NPI Profile along with additional information for San Pedro Pharmacy, a provider established in San Pedro, California operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1750335790 assigned on May 2006. The practitioner's primary taxonomy code is 3336C0003X with license number PHY51898 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as San Pedro Pharmacy. The authorized official of this NPI record is Mr. Vishal Patel Pharmd (Pharmacist In Charge)

NPI
1750335790
Provider Legal Name
SEAGATE HEALTH ENTERPRISES INC.
Other Organization Name
SAN PEDRO PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1360 W 6TH ST SUITE 115 SAN PEDRO, CA 90732
Location Phone
(310) 831-0155
Location Fax
(310) 831-6654
Mailing Address
1360 W 6TH ST SUITE 115 SAN PEDRO, CA 90732
Mailing Phone
(310) 831-0155
Mailing Fax
(310) 831-6654
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2006
Last Update Date
09-18-2014
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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.
PHY51898
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

PHY51898 (CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. VISHAL PATEL PHARMD

Authorized Official Title
PHARMACIST IN CHARGE
Authorized Official Phone
(310) 831-0155

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PHA441510MEDICAID (05)CA 
4127740001MEDICARE NSC (07)CA 

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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.
1750335790
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271006310718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 3 + 1 + 0 + 7 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1750335790 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821092859DR. CARMEN C CAPODANNO M.D.
Individual
Dermatology1360 W 6TH ST STE 270
SAN PEDRO, CA 90732
(310) 831-1272
1598755159 BARRY NEAL RODGVELLER DPM
Individual
Podiatrist1360 W 6TH ST SUITE 240
SAN PEDRO, CA 90732
(310) 548-3311
1346221199MR. DAVID J CAMPISI MD
Individual
Internal Medicine (Pulmonary Disease)1360 W 6TH ST NORTH BLDG STE 315
SAN PEDRO, CA 90732
(310) 831-8952
1790704799DR. PHYLLIS R. MONROE M.D.
Individual
Internal Medicine1360 W 6TH ST SUITE 315N
SAN PEDRO, CA 90732
(310) 832-4517
1073537817 KENNETH JOEL MILLER MD
Individual
Ophthalmology1360 W 6TH ST SUITE 215
SAN PEDRO, CA 90732
(310) 547-9991
1629092176DR. RUSSELL LEE LOVE DDS
Individual
Dentist (Periodontics)1360 W 6TH ST SUITE J
SAN PEDRO, CA 90732
(310) 548-6589
1841202983 MAXWELL A. DARTEY M.D.
Individual
Obstetrics & Gynecology1360 W 6TH ST SUITE 165
SAN PEDRO, CA 90732
(310) 241-1350
1235242306DR. VINCENT MATTHEW MARDESICH DDS.
Individual
Dentist (General Practice)1360 W 6TH ST STE. 210 ,WEST BUILDING
SAN PEDRO, CA 90732
(310) 514-1000
1336243666MR. JAMES A SCHMIDT MD
Individual
Family Medicine1360 W 6TH ST SUITE B EAST BLDG
SAN PEDRO, CA 90732
(310) 832-0686
1063501062DR. EMMETT COX II M.D.
Individual
Orthopaedic Surgery1360 W 6TH ST WEST BUILDING - SUITE #245
SAN PEDRO, CA 90732
(310) 519-3146
1437239688 VICKI PENNY NP
Individual
Nurse Practitioner1360 W 6TH ST SUITE 125, NORTH BUILDING
SAN PEDRO, CA 90732
(310) 831-8952
1629141759PENINSULA OUTPATIENT SURGERY CENTER, INC.
Organization
Clinic/Center (Ambulatory Surgical)1360 W 6TH ST #265
SAN PEDRO, CA 90732
(310) 514-2511
1366500647DR. JAMES T LONDON MD
Individual
Orthopaedic Surgery1360 W 6TH ST #305
SAN PEDRO, CA 90732
(310) 833-2406
1457402844MRS. PATRICIA ANN OTT R. EEG T.
Individual
Specialist/Technologist, Other (EEG)1360 W 6TH ST SUITE # 350
SAN PEDRO, CA 90732
(310) 832-6428
1598982175SAMUEL K WIRTSCHAFTER MD INC
Organization
Internal Medicine (Gastroenterology)1360 W 6TH ST SUITE 315N
SAN PEDRO, CA 90732
(310) 832-4517
1275748295MRS. NEYDA BRODNANSKY F.N.P.
Individual
Nurse Practitioner (Family)1360 W 6TH ST #120
SAN PEDRO, CA 90732
(310) 428-4699
1275721540MRS. LISA ANNE SEDILLO ARRT R M, RDMS
Individual
Radiologic Technologist (Sonography)1360 W 6TH ST
SAN PEDRO, CA 90732
(310) 514-5243
1548447162DAVID J. CAMPISI, M.D., A MEDICAL CORPORATION
Organization
Internal Medicine1360 W 6TH ST NORTH BUILDING, SUITE 315
SAN PEDRO, CA 90732
(310) 831-8952
1528245602EMMETT COX II, M.D., A PROFESSIONAL CORPORATION
Organization
Orthopaedic Surgery1360 W 6TH ST WEST BLDG. #245
SAN PEDRO, CA 90732
(310) 519-3146
1851560387HERBERT H WEBB MD INC
Organization
Internal Medicine1360 W 6TH ST 325
SAN PEDRO, CA 90732
(310) 832-8939

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750335790, enumerated in the NPI registry as an "organization" on May 22, 2006

The provider is located at 1360 W 6th St Suite 115 San Pedro, Ca 90732 and the phone number is (310) 831-0155

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 22, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.