STARSHIP MEDICAL CORPORATION – NPI #1336733039
Non-Pharmacy Dispensing Site

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

STARSHIP MEDICAL CORPORATION is a non-pharmacy dispensing site located in WILMINGTON, CA. NPPES has assigned the NPI number 1336733039 to STARSHIP MEDICAL CORPORATION on February 23, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 332900000X from the Health Care Provider Taxonomy code set, which is classified as Non-Pharmacy Dispensing Site.

The NPI profile was previously updated about 5 years ago on May 19, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STARSHIP MEDICAL CORPORATION below.

NPI Profile for
STARSHIP MEDICAL CORPORATION

NPI Number
1336733039
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STARSHIP MEDICAL CORPORATION
Primary location
1703 N AVALON BLVD
WILMINGTON, CA 90744-1432
Phone: (310) 233-9355 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EDDIE SANTIAGO
ADMINISTRATOR
Phone: (818) 610-9360
Updated
Certification Date
May 13, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332900000X
- Non-Pharmacy Dispensing Site (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.