G&H RAPHA (NPI# 1578769253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578769253 |
| Entity Type | Organization |
| Organization Name | G&H RAPHA |
| Other Organization Name | LAGUNA VISTA PHARMACY |
| Practice Address |
11441 Heacock St Suite D Moreno Valley CA 92557-7907 |
| Practice Telephone | 9512436465 |
| Practice Fax Number | 9519247181 |
| Mailing Telephone | 9512436465 |
| Mailing Fax Number | 9519247181 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2007-12-05 |
| Authorized Official Name | MRS. GRACE KWON (SECRETARY) |
| Authorized Official Telephone | 9512436465 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY48289 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA482890 | 05 |
| Other Name | Type Code |
|---|---|
| LAGUNA VISTA PHARMACY | Doing Business As Name - Organization |
| Street Address |
11441 HEACOCK ST SUITE D |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92557-7907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013901552 | Visith Priromprintr | Obstetrics & Gynecology | 11441 Heacock St, Suite B1, Moreno Valley, CA 92557-7907 | 2005-09-09 |
| 1467939884 | Shreeji Healthcare Inc | Pharmacy | 11441 Heacock St, Moreno Valley, CA 92557-7907 | 2018-07-27 |
| 1407303753 | Evelyn Wangsa | Nurse Practitioner | 11441 Heacock St, Moreno Valley, CA 92557-7907 | 2016-09-03 |
| 1649655457 | Cda Clinical Pharmacy Corporation | Pharmacy | 11441 Heacock St, Ste D, Moreno Valley, CA 92557-7907 | 2015-07-22 |
| 1578958047 | Aspen Medical Group, Inc. | Obstetrics & Gynecology | 11441 Heacock St, Suite B-1, Moreno Valley, CA 92557-7907 | 2015-04-01 |
| 1730574435 | One Acupuncture Clinic Inc | Acupuncturist | 11441 Heacock St, Ste B2, Moreno Valley, CA 92557-7907 | 2015-03-31 |
| 1124386198 | Jeffrey Taylor Olson | Internal Medicine | 11441 Heacock St, Suite C, Moreno Valley, CA 92557-7907 | 2012-04-27 |
| 1174693568 | Bog Ryul Lee | Acupuncturist | 11441 Heacock St, Suite #b2, Moreno Valley, CA 92557-7907 | 2006-11-09 |
| 1013027465 | Dong S. Kim, M.d., Inc | Internal Medicine | 11441 Heacock St, Ste. F, Moreno Valley, CA 92557-7907 | 2006-08-30 |
| 1871543629 | Faculty Physicians and Surgeons of Llusm | Internal Medicine | 11441 Heacock St, Suite A, Moreno Valley, CA 92557-7907 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314577 | Knight Rider Transport Inc | Private Vehicle | 21334 Ocasey Ct, Moreno Valley, CA 92557 | 2019-09-11 |
| 1679041495 | Shaping Pathways | Community/Behavioral Health | 11627 Mccully Court, Moreno Valley, CA 92557 | 2018-11-09 |
| 1710485644 | Torie Curiel | Behavior Technician | 12125 Day St E301, Moreno Valley, CA 92557 | 2018-01-25 |
| 1164949921 | Phyllis Yvonne Miller | Behavioral Analyst | 15450 Casa Grande St, Moreno Valley, CA 92557 | 2017-08-23 |
| 1255855912 | Natalie Maria-vega Cortinas | Specialist/Technologist | 12348 Kasota Ct., Moreno Valley, CA 92557 | 2017-08-03 |
| 1942720263 | Shenna Pontier Brown | Licensed Vocational Nurse | 12031 Poutous Ct, Moreno Valley, CA 92557 | 2017-06-27 |
| 1104209733 | Saira Medrano | Counselor | 11966 Villa Hermosa, Moreno Valley, CA 92557 | 2015-07-01 |
| 1295071405 | Maura Sauls | Counselor | 9963 Paseo Corralito, Moreno Valley, CA 92557 | 2012-12-14 |
| 1992919583 | Jody Willetts | Technician, Other | 11480 Tiffany Lane, Moreno Valley, CA 92557 | 2007-05-10 |
| 1457564841 | Derrick Trigenza Smith | Dental Hygienist | 23569 Sunnymead Ranch Parkway, Moreno Valley, CA 92557 | 2007-05-08 |
| Find all providers in zip 92557 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408178 | County of Riverside | Pharmacy | 26600 Cactus Ave, Moreno Valley, CA 92555-3901 | 2020-02-12 |
| 1134686801 | Sav-on Drug Stores Inc | Pharmacy | 12930 Day St, Ste #103, Moreno Valley, CA 92553-9255 | 2019-02-28 |
| 1528263308 | Walgreen Co | Pharmacy | 16020 Perris Blvd, Moreno Valley, CA 92551-4618 | 2007-06-20 |
| 1518049394 | Valley Pharmacy | Pharmacy | 24465 Sunnymead Blvd, Moreno Valley, CA 92553-9313 | 2006-10-20 |
| 1982714580 | Costco Wholesale Corporation | Pharmacy | 12700 Day St, Moreno Valley, CA 92553 | 2006-08-30 |
| 1447295340 | Garfield Beach Cvs LLC | Pharmacy | 12280 Perris Blvd, Moreno Valley, CA 92557-7418 | 2006-06-17 |
| 1467939884 | Shreeji Healthcare Inc | Pharmacy | 11441 Heacock St, Moreno Valley, CA 92557-7907 | 2018-07-27 |
| 1649655457 | Cda Clinical Pharmacy Corporation | Pharmacy | 11441 Heacock St, Ste D, Moreno Valley, CA 92557-7907 | 2015-07-22 |
| 1619185162 | Garfield Beach Cvs LLC | Pharmacy | 27100 Eucalyptus Ave, Moreno Valley, CA 92555-4522 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92557 |
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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.