Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Imperial Beach Pharmacy LLC

Organization Home Infusion Therapy Pharmacy · NPI 1134038953

Imperial Beach Pharmacy LLC is a Home Infusion Therapy Pharmacy in San Diego, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1530 Palm Ave
San Diego, CA 92154-1016
Phone: (619) 343-0095
Fax: (619) 830-4590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialty Pharmacy (primary) Taxonomy 3336S0011X
Home Infusion Therapy Pharmacy Taxonomy 3336H0001X

Record details

NPI number1134038953
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prashant Koyani — Owner · (619) 343-0095
NPI enumeratedSeptember 7, 2026
Last updated in NPPESSeptember 8, 2026
Certification dateSeptember 8, 2026
Mailing address1530 Palm Ave, San Diego, CA 92154-1016

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