SOUTH BAY DRUGS
NPI 1417968090
Pharmacy - Community/Retail Pharmacy in Imperial Beach, CA

Active since August 10, 2006
779 PALM AVE, IMPERIAL BEACH, CA 91932(619) 424-5164(619) 423-8492 Get Directions Write a Review

NPPES record last updated: December 10, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Bay Drugs NPPES

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

SOUTH BAY DRUGS (NPI 1417968090) is a healthcare organization registered as a community/retail pharmacy in Imperial Beach, California and active in the NPI registry since August 2006. The organization lists Shawki Bachoua, Owner, as its authorized official.

NPPES Registry Identity

NPI1417968090
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHAWKI BACHOUA
Location Address779 PALM AVEImperial Beach, CA 91932-1234
Mailing Address779 Palm AveImperial Beach, CA 91932-1234 · (619) 424-5164 · Fax (619) 423-8492
Fax(619) 423-8492
Organization SubpartNo
Authorized OfficialShawki BachouaOwner · (619) 424-5559
Enumeration DateAugust 10, 2006
Last NPPES UpdateDecember 10, 2009
NPI 1417968090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in CA · PHY43632
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.

Also ListedPharmacyTaxonomy 333600000X
779 PALM AVE, Imperial Beach, CA 91932

Other Names 1

Doing Business AsSouth Bay Drugs

Other Identifiers 2

Other0534001Ncpdp Provider Identification Number
MedicaidPHA436320CA

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 Shawki Bachoua's NPI number?

The NPI number for Shawki Bachoua is 1417968090. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider is doing business as South Bay Drugs.

Where is Shawki Bachoua located?

Shawki Bachoua is located at 779 Palm Ave, Imperial Beach, CA 91932. The listed phone number is (619) 424-5164.

What is Shawki Bachoua'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 Shawki Bachoua was last updated on December 10, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.