CREDENA HEALTH LLC (NPI# 1205811601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205811601 |
| Entity Type | Organization |
| Organization Name | CREDENA HEALTH LLC |
| Other Organization Name | CREDENA HEALTH PHARMACY ORANGE |
| Practice Address |
1140 West La Veta Orange CA 92868-3849 |
| Mailing Address |
Po Box 5936b Portland OR 97228-5436 |
| Practice Telephone | 7147448724 |
| Practice Fax Number | 7147448676 |
| Mailing Telephone | 7145685500 |
| Mailing Fax Number | 7147448534 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | MR. DONALD WAYNE ANDERSON JR. (DIRECTOR REIMBURSEMENT ADMIN) |
| Authorized Official Telephone | 4255255392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Credena Health Pharmacy Orange | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850641 | Credena Health LLC | Pharmacy | 1510 Division St Ste 110, Oregon City, OR 97045-1572 | 2020-08-03 |
| 1629618186 | Credena Health LLC | Durable Medical Equipment & Medical Supplies | 3300 Providence Dr Ste 101, Anchorage, AK 99508-4619 | 2020-01-13 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1396125399 | Credena Health LLC | Pharmacy | 6348 Ne Halsey St, Suite A, Portland, OR 97213-4720 | 2015-06-04 |
| 1164809778 | Credena Health LLC | Pharmacy | 50331a Us Highway 93, Polson, MT 59860-7046 | 2015-05-04 |
| 1124358239 | Credena Health LLC | Pharmacy | 501 S Buena Vista St Fl 1, Burbank, CA 91505 | 2010-01-12 |
| 1225190408 | Credena Health LLC | Pharmacy | 9155 Sw Barnes Rd Ste 102, Portland, OR 97225-6625 | 2006-12-14 |
| 1568551430 | Credena Health LLC | Pharmacy | 101 W 8th Ave Ste 207653, Spokane, WA 99204 | 2006-10-11 |
| 1235243668 | Credena Health LLC | Pharmacy | 5050 Ne Hoyt St Ste 142, Portland, OR 97213-2956 | 2006-08-19 |
| 1447249909 | Credena Health LLC | Pharmacy | 19200 N Kelsey Street, Monroe, WA 98272 | 2005-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Credena Health LLC | 6348 Ne Halsey St, Suite A, Portland, OR 97213 |
| Iowa Business Entities | CREDENA HEALTH LLC | 6348 Ne Halsey St. Suite A, Portland, OR 97213 |
| Oregon Corporations, Companies and Business Names | CREDENA HEALTH LLC | 6348 Ne Halsey Street, Suite A, Portland, OR 97213 |
| Washington State Corporations | CREDENA HEALTH LLC | 6348 Ne Halsey St, Suite A, Portland, OR 97213-4720 |
| Virginia Business Entities | CREDENA HEALTH LLC | 1801 Lind Ave Sw Ste 9016, Renton, Washington 98057 |
| Street Address |
1140 WEST LA VETA |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932242302 | Brian J. W. Boyd | Psychiatry & Neurology | 1140 West La Veta, Ste 410, Orange, CA 92868-4226 | 2007-02-15 |
| 1124055041 | Eric H Pham | Surgery | 1140 West La Veta, Suite 760, Orange, CA 92868 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891146791 | Orange Markets LLC | Pharmacy | 259 Bull Hill Ln, Orange, CT 06477-3212 | 2016-06-22 |
| 1164812327 | K & T Pharmacy Inc | Pharmacy | 3116 E Chapman Ave, Orange, CA 92869-3708 | 2015-01-27 |
| 1023439957 | Abc Medicine Inc | Pharmacy | 7626 E Chapman Ave Ste C, Orange, CA 92869-8532 | 2013-12-19 |
| 1528128758 | Cannon Drugs | Pharmacy | 1233 N Tustin Ave, Orange, CA 92867-5147 | 2006-12-11 |
| 1326111840 | Kroger Texas L P | Pharmacy | 1600 N 16th St, Orange, TX 77630-3616 | 2006-11-15 |
| 1629167275 | Big A Drug Store Inc | Pharmacy | 1538 E Chapman Ave, Orange, CA 92866-2231 | 2006-10-12 |
| 1083726079 | Watson Drug Inc | Pharmacy | 116 E Chapman Ave, Orange, CA 92866-1402 | 2006-08-31 |
| 1407961436 | Magdi F Haroun | Pharmacy | 705 W La Veta Ave Ste 110a, Orange, CA 92868-4447 | 2006-08-20 |
| 1316958903 | Orange Pharmacy LLC | Pharmacy | 1301 W Park Ave, Orange, TX 77630-4923 | 2006-08-10 |
| 1861434649 | Txrx Pharmacy | Pharmacy | 2 Putnam Ave, Orange, TX 77630-2328 | 2006-06-13 |
| Find all providers in ORANGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.