OrganizationActive
Imperial Beach Pharmacy LLC
NPI 1558125856 · Long Term Care Pharmacy · San Diego, CA
Imperial Beach Pharmacy LLC is a Long Term Care Pharmacy organization in San Diego, CA (NPI 1558125856).
Provider details
- NPI number
- 1558125856
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Prashant Koyani, Member(619) 343-0095
Specialties & taxonomies
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1530 Palm Ave
San Diego, CA 92154-1016
Phone: (619) 343-0095
Fax: (619) 830-4590
Approximate (ZIP-level) locationGet directions
Mailing address
1530 Palm Ave
San Diego, CA 92154-1016
Other names (DBA / former)
- Doing business as
- Imperial Pharmacy
- Doing business as
- Imperial Pharmacy
Registry dates
- Enumerated
- 2024-02-08
- Last updated
- 2024-10-22
- Certified
- 2024-10-22
Frequently asked questions
- What is Imperial Beach Pharmacy LLC's NPI number?
- Imperial Beach Pharmacy LLC's National Provider Identifier (NPI) is 1558125856, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Imperial Beach Pharmacy LLC?
- Imperial Beach Pharmacy LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Imperial Beach Pharmacy LLC located?
- Imperial Beach Pharmacy LLC's practice location on file with NPPES is 1530 Palm Ave, San Diego, CA 92154-1016.
- What is Imperial Beach Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Imperial Beach Pharmacy LLC is (619) 343-0095.
- Who is the authorized official for Imperial Beach Pharmacy LLC?
- The authorized official listed on Imperial Beach Pharmacy LLC's NPPES record is Prashant Koyani, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Imperial Beach Pharmacy LLC's NPI active?
- Yes — Imperial Beach Pharmacy LLC's NPI (1558125856) is active in the NPPES registry as of the last update on 2024-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.