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SAN DIEGO COMPOUNDING PHARMACY
NPI 1508877002
Pharmacy - Community/Retail Pharmacy in San Diego, CA

Active since August 10, 2006
5395 RUFFIN RD STE 104, SAN DIEGO, CA 92123(858) 277-8884(858) 277-8889 Get Directions Write a Review

NPPES record last updated: August 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About San Diego Compounding Pharmacy NPPES

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

SAN DIEGO COMPOUNDING PHARMACY (NPI 1508877002) is a healthcare organization registered as a community/retail pharmacy in San Diego, California and active in the NPI registry since August 2006. The organization lists Jerome Greene, Owner, as its authorized official.

NPPES Registry Identity

NPI1508877002
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAN DIEGO COMPOUNDING PHARMACY A PROF CORP
Location Address5395 RUFFIN RD STE 104San Diego, CA 92123-1338
Mailing Address5395 Ruffin Rd Ste 104San Diego, CA 92123-1338 · (858) 277-8884 · Fax (858) 277-8889
Phone(858) 277-8884
Fax(858) 277-8889
Organization SubpartNo
Authorized OfficialJerome GreeneOwner · (858) 277-8884
Enumeration DateAugust 10, 2006
Last NPPES UpdateAugust 22, 2016
✔ NPI 1508877002 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 · PHY47015
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
5395 RUFFIN RD STE 104, San Diego, CA 92123
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Other Names 1

Doing Business AsSan Diego Compounding Pharmacy

Other Identifiers 1

Other2113433Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

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 San Diego Compounding Pharmacy A Prof Corp's NPI number?

The NPI number for San Diego Compounding Pharmacy A Prof Corp is 1508877002. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider is doing business as San Diego Compounding Pharmacy.

Where is San Diego Compounding Pharmacy A Prof Corp located?

San Diego Compounding Pharmacy A Prof Corp is located at 5395 Ruffin Rd Ste 104, San Diego, CA 92123. The listed phone number is (858) 277-8884.

What is San Diego Compounding Pharmacy A Prof Corp's specialty?

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

What insurance does San Diego Compounding Pharmacy A Prof Corp accept?

Health plans from Medica and Moda Health Plan, Inc. list San Diego Compounding Pharmacy A Prof Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for San Diego Compounding Pharmacy A Prof Corp was last updated on August 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.