OrganizationActive
4th Street Pharmacy, Inc
NPI 1265795447 · Community/Retail Pharmacy · San Diego, CA
4th Street Pharmacy, Inc is a Community/Retail Pharmacy organization in San Diego, CA (NPI 1265795447).
Provider details
- NPI number
- 1265795447
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Joseph Grasela, Owner/Pic(619) 683-2005
- License
- 50831 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1765 4th Ave
San Diego, CA 92101-2670
Phone: (619) 398-1800
Fax: (619) 481-3733
Street-level locationGet directions
Mailing address
1765 4th Ave
San Diego, CA 92101-2670
Other names (DBA / former)
- Doing business as
- University Compounding Pharmacy
Registry dates
- Enumerated
- 2012-06-21
- Last updated
- 2012-06-21
Frequently asked questions
- What is 4th Street Pharmacy, Inc's NPI number?
- 4th Street Pharmacy, Inc's National Provider Identifier (NPI) is 1265795447, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 4th Street Pharmacy, Inc?
- 4th Street Pharmacy, Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is 4th Street Pharmacy, Inc located?
- 4th Street Pharmacy, Inc's practice location on file with NPPES is 1765 4th Ave, San Diego, CA 92101-2670.
- What is 4th Street Pharmacy, Inc's phone number?
- The practice phone number listed in the NPPES registry for 4th Street Pharmacy, Inc is (619) 398-1800.
- Who is the authorized official for 4th Street Pharmacy, Inc?
- The authorized official listed on 4th Street Pharmacy, Inc's NPPES record is Joseph Grasela, Owner/Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 4th Street Pharmacy, Inc's NPI active?
- Yes — 4th Street Pharmacy, Inc's NPI (1265795447) is active in the NPPES registry as of the last update on 2012-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.