Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Imperial Beach Pharmacy LLC

Organization Long Term Care Pharmacy · NPI 1558125856

Imperial Beach Pharmacy LLC is a Long Term Care Pharmacy in San Diego, California. Registered with an NPI since 2024.

In the registry since
2024
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

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1558125856
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prashant Koyani — Member · (619) 343-0095
Other names Imperial Pharmacy; Imperial Pharmacy
NPI enumeratedFebruary 8, 2024
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024
Mailing address1530 Palm Ave, San Diego, CA 92154-1016

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