PALOMAR PHARMACY
NPI 1730432469
Pharmacy - Community/Retail Pharmacy in Escondido, CA

Active since October 18, 2012
1955 CITRACADO PKWY, STE 101, ESCONDIDO, CA 92029(760) 294-0790(760) 294-0791 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2018, May 3, 2018 (2 updates tracked since 2018).

About Palomar Pharmacy NPPES

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

PALOMAR PHARMACY (NPI 1730432469) is a healthcare organization registered as a community/retail pharmacy in Escondido, California and active in the NPI registry since October 2012. The organization lists Vera Abramova, Cfo, as its authorized official.

NPPES Registry Identity

NPI1730432469
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLC SAN DIEGO LLC
Location Address1955 CITRACADO PKWY, STE 101Escondido, CA 92029-4110
Mailing Address1955 Citracado Pkwy, Ste 101Escondido, CA 92029-4110 · (760) 294-0790 · Fax (760) 294-0791
Fax(760) 294-0791
Organization SubpartNo
Authorized OfficialVera AbramovaCfo · (516) 422-8477
Enumeration DateOctober 18, 2012
Last NPPES UpdateJuly 19, 20182 updates tracked since enumeration
✔ NPI 1730432469 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 · PHY55614
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
1955 CITRACADO PKWY, Escondido, CA 92029

Other Names 1

Doing Business AsPalomar Pharmacy

Other Identifiers 2

Medicaid1730432469CA
Other2168780Pk

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Palomar Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20131223001280Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 16

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

Surgery
1955 CITRACADO PKWY, SUITE 200
ESCONDIDO, CA 92029
Internal Medicine (Cardiovascular Disease)
1955 CITRACADO PKWY, SUITE 300
ESCONDIDO, CA 92029
Internal Medicine (Critical Care Medicine)
1955 CITRACADO PKWY, SUITE 301
ESCONDIDO, CA 92029
Orthopaedic Surgery (Hand Surgery)
1955 CITRACADO PKWY, # 200
ESCONDIDO, CA 92029
Nurse Practitioner
1955 CITRACADO PKWY, SUITE 300
ESCONDIDO, CA 92029
Internal Medicine (Clinical Cardiac Electrophysiology)
1955 CITRACADO PKWY, SUITE 300
ESCONDIDO, CA 92029
Physical Medicine & Rehabilitation
1955 CITRACADO PKWY, SUITE 203
ESCONDIDO, CA 92029
Internal Medicine (Pulmonary Disease)
1955 CITRACADO PKWY, STE 301
ESCONDIDO, CA 92029

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 Lc San Diego LLC's NPI number?

The NPI number for Lc San Diego LLC is 1730432469. It was assigned to this organization in the NPPES registry on October 18, 2012. The provider is doing business as Palomar Pharmacy.

Where is Lc San Diego LLC located?

Lc San Diego LLC is located at 1955 Citracado Pkwy Ste 101, Escondido, CA 92029. The listed phone number is (760) 294-0790.

What is Lc San Diego LLC's specialty?

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

Is Lc San Diego LLC enrolled in Medicare?

Yes. Lc San Diego LLC is registered in the Medicare PECOS enrollment system.

When is Lc San Diego LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Mass Immunization (Roster Biller Only)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Lc San Diego LLC was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.