RELIANCE FB RX LLC (NPI# 1629314869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629314869 |
| Entity Type | Organization |
| Organization Name | RELIANCE FB RX LLC |
| Other Organization Name | RELIANCE PHARMACY |
| Practice Address |
11333 Sepulveda Blvd Suite 1200 Mission Hills CA 91345-1116 |
| Practice Telephone | 8188375999 |
| Practice Fax Number | 8188375920 |
| Mailing Telephone | 8188375999 |
| Mailing Fax Number | 8188375920 |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2013-01-22 |
| Authorized Official Name | MR. BRAHMAJI VALIVETI (MEMBER/OWNER) |
| Authorized Official Telephone | 8188375999 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PHY51184 | CA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY51184 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NCPDP PROVIDER | 56-46091 | 01 |
| CA | BOARD OF PHARMACY LICENSE | PHY 51184 | 01 |
| Other Name | Type Code |
|---|---|
| RELIANCE PHARMACY | Doing Business As Name - Organization |
| Street Address |
11333 SEPULVEDA BLVD SUITE 1200 |
| City | MISSION HILLS |
| State | CA |
| Zip Code | 91345-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710977731 | Sharon Lynn Lindsey | Physical Therapist | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2005-10-21 |
| 1245876770 | Carolnn Yong | Pharmacist | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2019-11-19 |
| 1942861182 | Justin Jacob Ramirez | Emergency Medicine | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2019-06-27 |
| 1326535105 | Ninia R Carvajal | Nurse Practitioner | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2018-04-17 |
| 1861992141 | Harry Avellona | Registered Nurse | 11333 Sepulveda Blvd, Mission Hills, CA 91345 | 2018-02-13 |
| 1447769153 | Young Bin Park | Nurse Practitioner | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2017-09-26 |
| 1043735939 | Maria Behrooj | Nurse Practitioner | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2017-08-11 |
| 1528581519 | Rolando Castillo | Nurse Practitioner | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2017-07-21 |
| 1467974550 | Kristina P Yun | Optometrist | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2017-07-11 |
| 1154854826 | Sarah R Ahmed | Internal Medicine | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2017-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141499 | Alpha Hospice | Hospice Care, Community Based | 15455 Devonshire St Suite 100a, Mission Hills, CA 91345 | 2020-10-12 |
| 1740725639 | Vivian Insua-lopez, Psy.d, Psychologist, Inc | Psychologist | 15455 San Fernando Misson Blvd., #308, Mission Hills, CA 91345 | 2016-12-30 |
| 1699162941 | Nancy M Kim Inc | Family Medicine | 11550 Indiana Hills Rd, 301, Mission Hills, CA 91345 | 2015-04-23 |
| 1881940088 | Prohealth-valley Occupational Medical Group | Clinic/Center | 10630 Sepulveda Blvd., Suite 100, Mission Hills, CA 91345 | 2012-07-25 |
| 1942588868 | Trauma & Critical Care Sfv Group Inc | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345 | 2011-07-26 |
| 1679860084 | Mirna G Villatoro | Residential Treatment Facility, Physical Disabilities | 11100 Sepulveda Blvd, # 232, Mission Hills, CA 91345 | 2011-07-06 |
| 1093010944 | Ana Yvette Alvarez | Rehabilitation Practitioner | 11565 Laurel Canyon Blvd. Suite 116, Mission Hills, CA 91345 | 2011-01-24 |
| 1811226392 | Tender Home Health | Home Health | 10117 Sepulveda Blvd Ste 205a, Mission Hills, CA 91345 | 2009-12-14 |
| 1033387279 | Jamal Elias Khoury | Chiropractor | 15336 Devonshire St. Ste 3, Mission Hills, CA 91345 | 2008-02-11 |
| 1043497282 | Ana Elena Aldana | Counselor | 10200 Sepulveda Blvd., Unit 100, Mission Hills, CA 91345 | 2008-01-30 |
| Find all providers in zip 91345 | ||||
| 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] |
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|---|---|---|---|---|
| 1902847825 | Garfield Beach Cvs LLC | Pharmacy | 9900 Sepulveda Blvd, Mission Hills, CA 91345-2916 | 2006-06-10 |
| 1528517547 | Best Health Rx Pharmacy Inc | Pharmacy | 10630 Sepulveda Blvd, Ste 101, Mission Hills, CA 91345-1938 | 2016-10-03 |
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| 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 | MISSION HILLS |
| Zip Code | 91345 |
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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.