EDGEMOOR HOSPITAL PHARMACY
NPI 1316952914
Pharmacy - Long Term Care Pharmacy in Santee, CA

Q: What is County Of San Diego's NPI number?

The NPI number for County Of San Diego is 1316952914. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is doing business as Edgemoor Hospital Pharmacy.

Q: What is County Of San Diego's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Active since July 30, 2006CLIA 05D0919690 · Waiver

655 PARK CENTER DR, SANTEE, CA 92071(619) 596-6340(619) 596-6341 Get Directions Write a Review

NPPES record last updated: November 12, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Edgemoor Hospital Pharmacy NPPES

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

EDGEMOOR HOSPITAL PHARMACY (NPI 1316952914) is a healthcare organization registered as a long term care pharmacy in Santee, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists Gwenmarie Hilleary, Administrator, as its authorized official.

NPPES Registry Identity

NPI1316952914

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameCOUNTY OF SAN DIEGO

Location Address655 PARK CENTER DRSantee, CA 92071-6957

Mailing Address655 Park Center DrSantee, CA 92071-6957 · (619) 596-6340 · Fax (619) 596-6341

Phone(619) 596-6340

Fax(619) 596-6341

Organization SubpartNo

Authorized OfficialGwenmarie HillearyAdministrator · (619) 596-5500

Enumeration DateJuly 30, 2006

Last NPPES UpdateNovember 12, 2015

✔ NPI 1316952914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

License✔ Licensed in CA · 34002

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Also ListedPharmacy · Institutional PharmacyTaxonomy 3336I0012X

655 PARK CENTER DR, Santee, CA 92071

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Other Names 1

Doing Business AsEdgemoor Hospital Pharmacy

Other Identifiers 2

MedicaidZZT05008FCA

Other2114082Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, BlueCross BlueShield of Tennessee and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0919690

County Of San Diego/Edgemoor Hospital · Santee, CA

Active · expires Jul 26, 2027

CLIA Number05D0919690

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateJuly 27, 2025

Certificate Expiration DateJuly 26, 2027

Laboratory DirectorRebecca Ferrini MD

Laboratory Phone(619) 596-5500

Laboratory LocationCounty Of San Diego/Edgemoor Hospital655 Park Center Drive, Santee, CA 92071

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARLA SCHAFER

Registered Nurse