INNOVA PHARMACY IV (NPI# 1689271066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689271066 |
| Entity Type | Organization |
| Organization Name | INNOVA PHARMACY IV |
| Practice Address |
4815 Watt Ave Ste B101 North Highlands CA 95660-5108 |
| Mailing Address |
2400 Glendale Ln Ste A Sacramento CA 95825-2431 |
| Practice Telephone | 9162203344 |
| Mailing Telephone | 9164879977 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | MR. TIM THIEN LE (CEO) |
| Authorized Official Telephone | 9162203344 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Street Address |
4815 WATT AVE STE B101 |
| City | NORTH HIGHLANDS |
| State | CA |
| Zip Code | 95660-5108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881198810 | Wyzell Washington | Behavior Technician | 4039 Polk Street #89, North Highlands, CA 95660 | 2018-03-23 |
| 1184147746 | Rosane Jordao | Registered Nurse | 6045 Watt Ave # Wz3e, North Highlands, CA 95660 | 2017-07-25 |
| 1962823435 | Aaron Michael Lowe | Chiropractor | 5400 Watt Ave., North Highlands, CA 95660 | 2013-12-30 |
| 1609157833 | Working Title LLC | Non-emergency Medical Transport (VAN) | 3831 Tavi Ave, North Highlands, CA 95660 | 2011-09-01 |
| 1275795122 | Twin Rivers Unified School District | Local Education Agency (LEA) | 3222 Winona Way, North Highlands, CA 95660 | 2008-07-01 |
| 1295850154 | Vera Bolyshkanov | Dentist | 6137 Watt Ave, Suite 8, North Highlands, CA 95660 | 2007-03-20 |
| 1245304856 | Nourollah Danialypour | General Practice | 5708 Watt Avenue, North Highlands, CA 95660 | 2006-11-17 |
| 1912000571 | Marc Douglas Siemens | Chiropractor | 5705 Marconi Ave, Ste B, Carmichael, CA 95660 | 2006-09-07 |
| 1811004906 | Wendy Walker Godfrey | Social Worker | 3628 Madison Avenue, Suite 7, North Highlands, CA 95660 | 2006-08-24 |
| 1629181045 | Erik Sternad | Marriage & Family Therapist | 4612 Roseville Road, North Highlands, CA 95660 | 2006-08-17 |
| Find all providers in zip 95660 | ||||
| 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 |
|---|---|---|---|---|
| 1508161621 | West Coast Pharmacy, Inc. | Pharmacy | 5731 Watt Ave, North Highlands, CA 95660-4751 | 2011-01-20 |
| 1982714648 | Raleys | Pharmacy | 7477 Watt Ave, North Highlands, CA 95660-2606 | 2006-08-30 |
| 1073046280 | Als Pharmacy and Compounding Center Inc | Pharmacy | 5731 Watt Ave, North Highlands, CA 95660-4751 | 2017-04-05 |
| 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 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| 1538766266 | Nowrx Inc | Pharmacy | 16517 Arminta St, Van Nuys, CA 91406-1745 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HIGHLANDS |
| Zip Code | 95660 |
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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.