MEDICARE: J & S BIRDSONG PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0004X	Compounding Pharmacy
2	3336H0001X	Home Infusion Therapy Pharmacy
3	3336C0003X	Community/Retail Pharmacy	PHY43713	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1990207	OTHER		PK

General Provider Information

NPI Number	:	1679578298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J & S BIRDSONG PHARMACY INC

Provider Business Mailing Address
First Line	:	600 W MAIN ST
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-2920
Country	:	US
Telephone Number	:	760-352-0600
Fax Number	:	760-352-0220

Provider Business Practice Location Address
First Line	:	600 W MAIN ST
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-2920
Country	:	US
Telephone Number	:	760-352-0600
Fax Number	:	760-352-0220

Authorized Official
Title or Position	:	OWNER
Name	:	SAMUEL BIRDSONG
Credential	:	RPH
Telephone Number	:	760-352-0600

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	08/08/2013

Similar Medicare Providers

1033051925 — CALIFORNIA DERMATOLOGY INSTITUTE PC
Practice Location Address:

626 W MAIN ST
EL CENTRO, CA
92243-2920

Practice Phone: 805-222-5803
Practice Fax:

1952539652 — MR. CARLOS GUZMAN BA
Practice Location Address:

680 W MAIN ST
EL CENTRO, CA
92243-2920

Practice Phone: 760-482-0864
Practice Fax: 760-482-9185

1679806806 — EDUARDO MADRID DURAN
Practice Location Address:

680 W MAIN ST
EL CENTRO, CA
92243-2920

Practice Phone: 760-482-0864
Practice Fax: 760-482-9185

1295089993 — MARIA DEL CARMEN AMEZCUA
Practice Location Address:

680 W MAIN ST
EL CENTRO, CA
92243-2920

Practice Phone: 760-482-0864
Practice Fax: 760-482-9185

1356758783 — MS. OLGA CRISTINA VEGA M.A.ED.COUNSELING
Practice Location Address:

680 W MAIN ST
EL CENTRO, CA
92243-2920

Practice Phone: 760-482-0864
Practice Fax: 760-482-9185

1770292807 — SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER, INC
Practice Location Address:

626 W MAIN ST
EL CENTRO, CA
92243-2920

Practice Phone: 760-482-5931
Practice Fax: 760-482-5936

Directions to “J & S BIRDSONG PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.