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DR. MARK BOUNTHAVONG PHARM.D.
NPI 1720272578
Pharmacist in San Diego, CA

Active since September 04, 2007
3350 LA JOLLA VILLAGE DR # 119, SAN DIEGO, CA 92161(858) 552-8585(858) 552-7522 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Mark Bounthavong Pharm.d. NPPES

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

DR. MARK BOUNTHAVONG PHARM.D. (NPI 1720272578) is an individual pharmacist in San Diego, California, licensed in California (RPH55969) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1720272578
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. MARK BOUNTHAVONGCredential: PHARM.D.
Location Address3350 LA JOLLA VILLAGE DR # 119San Diego, CA 92161-0002
Mailing Address3950 Mahaila Ave Apt M30San Diego, CA 92122-5742 · (213) 268-5425
Phone(858) 552-8585
Fax(858) 552-7522
Sole ProprietorYes
Enumeration DateSeptember 4, 2007
✔ NPI 1720272578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · RPH55969
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
3350 LA JOLLA VILLAGE DR # 119, San Diego, CA 92161
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Other Providers at the Same Location NPPES 7

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

LAUREN ANDREA WONG PHARM.D.
Pharmacist
3350 LA JOLLA VILLAGE DR # 119
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
DR. JESSICA E HARRIS PHARM.D.
Pharmacist (Pharmacotherapy)
3350 LA JOLLA VILLAGE DR # 119
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
ELIZABETH GRAMER PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3350 LA JOLLA VILLAGE DR # 119
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
ANGELA KATHERINE BOUGETZ PHARM.D.
Pharmacist
3350 LA JOLLA VILLAGE DR # 119
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
LOIS KIM PHARMD.
Pharmacist
3350 LA JOLLA VILLAGE DR # 119
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
JIAYI HUANG PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3350 LA JOLLA VILLAGE DR # 119
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
DR. NADER MILAD TOSSOUN PHARM.D.
Pharmacist
3350 LA JOLLA VILLAGE DR # 119
SAN DIEGO, CA 92161
San Diego County (858) 552-8585

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 Mark Bounthavong's NPI number?

The NPI number for Mark Bounthavong is 1720272578. It was assigned to this individual provider in the NPPES registry on September 4, 2007.

Where is Mark Bounthavong located?

Mark Bounthavong practices at 3350 La Jolla Village Dr # 119, San Diego, CA 92161. The listed phone number is (858) 552-8585.

What is Mark Bounthavong's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mark Bounthavong was last updated on September 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.