UNIVERSITY COMPOUNDING PHARMACY
NPI 1265795447
Pharmacy - Community/Retail Pharmacy in San Diego, CA

Q: What is 4th Street Pharmacy, Inc's NPI number?

The NPI number for 4th Street Pharmacy, Inc is 1265795447. It was assigned to this organization in the NPPES registry on June 21, 2012. The provider is doing business as University Compounding Pharmacy.

Q: What is 4th Street Pharmacy, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since June 21, 2012

1765 4TH AVE, SAN DIEGO, CA 92101(619) 398-1800(619) 481-3733 Get Directions Write a Review

NPPES record last updated: June 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About University Compounding Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY COMPOUNDING PHARMACY (NPI 1265795447) is a healthcare organization registered as a community/retail pharmacy in San Diego, California and active in the NPI registry since June 2012. The organization lists Joseph Grasela, Owner/pic, as its authorized official.

NPPES Registry Identity

NPI1265795447

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business Name4TH STREET PHARMACY, INC

Location Address1765 4TH AVESan Diego, CA 92101-2670

Mailing Address1765 4th AveSan Diego, CA 92101-2670 · (619) 398-1800 · Fax (619) 481-3733

Phone(619) 398-1800

Fax(619) 481-3733

Organization SubpartNo

Authorized OfficialJoseph GraselaOwner/pic · (619) 683-2005

Enumeration DateJune 21, 2012

✔ NPI 1265795447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in CA · 50831

Definition

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.

1765 4TH AVE, San Diego, CA 92101

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Other Names 1

Doing Business AsUniversity Compounding Pharmacy

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 4th Street Pharmacy, Inc's NPI number?

The NPI number for 4th Street Pharmacy, Inc is 1265795447. It was assigned to this organization in the NPPES registry on June 21, 2012. The provider is doing business as University Compounding Pharmacy.

Where is 4th Street Pharmacy, Inc located?

4th Street Pharmacy, Inc is located at 1765 4th Ave, San Diego, CA 92101. The listed phone number is (619) 398-1800.

What is 4th Street Pharmacy, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for 4th Street Pharmacy, Inc was last updated on June 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.