MEDICARE: SHARP HEALTHCARE

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PHY43229	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	FLU011E	OTHER	CA	MEDICARE

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
3	1999716	OTHER		PK

General Provider Information

NPI Number	:	1235170234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARP HEALTHCARE

Provider Business Mailing Address
First Line	:	8695 SPECTRUM CENTER BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1489
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8975 BALBOA AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1507
Country	:	US
Telephone Number	:	858-262-8800
Fax Number	:	858-262-8657

Authorized Official
Title or Position	:	CEO SHARP REES STEALY
Name	:	MELISSA MAJOR
Credential	:
Telephone Number	:	858-262-6003

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	02/13/2026

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Directions to “SHARP HEALTHCARE ” Practice Location

Language	Start Address	Practice Location

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