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WHITE CROSS DRUG STORE
NPI 1609887199
Pharmacy - Long Term Care Pharmacy in San Diego, CA

Active since August 10, 2006
4074 FAIRMOUNT AVE, SAN DIEGO, CA 92105(619) 284-1141(619) 284-0503 Get Directions Write a Review

NPPES record last updated: August 31, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About White Cross Drug Store NPPES

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

WHITE CROSS DRUG STORE (NPI 1609887199) is a healthcare organization registered as a long term care pharmacy in San Diego, California and active in the NPI registry since August 2006. The organization lists Max Atiya, Owner, as its authorized official.

NPPES Registry Identity

NPI1609887199
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameWHITE CROSS DRUG STORE
Location Address4074 FAIRMOUNT AVESan Diego, CA 92105-1608
Mailing Address4074 Fairmount AveSan Diego, CA 92105-1608
Phone(619) 284-1141
Fax(619) 284-0503
Organization SubpartNo
Authorized OfficialMax AtiyaOwner · (619) 284-1141
Enumeration DateAugust 10, 2006
Last NPPES UpdateAugust 31, 2007
✔ NPI 1609887199 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 · PHY45196
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 ListedPharmacyTaxonomy 333600000X
4074 FAIRMOUNT AVE, San Diego, CA 92105
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Other Identifiers 4

Medicare NSC1251020001
Other0595681Other Id Number-commercial Number
Other0595681Other Id Number
MedicaidPHA451960CA

Other Providers at the Same Location NPPES 2

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

WESTERN PHARMACY GROUP LLC
Pharmacy (Community/Retail Pharmacy)
4074 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 284-1141
LA MAESTRA FAMILY CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4074 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 584-1612

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 White Cross Drug Store's NPI number?

The NPI number for White Cross Drug Store is 1609887199. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is White Cross Drug Store located?

White Cross Drug Store is located at 4074 Fairmount Ave, San Diego, CA 92105. The listed phone number is (619) 284-1141.

What is White Cross Drug Store's specialty?

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

When was this NPI record last updated?

The NPPES record for White Cross Drug Store was last updated on August 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.