OrganizationActive
Nmc San Diego
NPI 1609120005 · Military/U.S. Coast Guard Pharmacy · Chula Vista, CA
Provider details
- NPI number
- 1609120005
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard PharmacySuppliers
- Parent organization
- Nmc San Diego
- Organization subpart
- Yes
- Authorized official
- Hector Morales, Chief Dha Posc(210) 536-6650
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
2300 Boswell Rd
Suite 190
Chula Vista, CA 91914-3523
Phone: (619) 532-8407
Fax: (619) 532-6260
Street-level locationGet directions
Mailing address
34520 Bob Wilson Dr
San Diego, CA 92134-2098
Other names (DBA / former)
- Doing business as
- San Dg Eastlake Pharmacy
Registry dates
- Enumerated
- 2012-11-07
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.