AVENAL COMMUNITY HEALTH CENTER (NPI# 1720641814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720641814 |
| Entity Type | Organization |
| Organization Name | AVENAL COMMUNITY HEALTH CENTER |
| Other Organization Name | ARIA COMMUNITY HEALTH PHARMACY |
| Practice Address |
209 C St Lemoore CA 93245-2930 |
| Mailing Address |
Po Box 580 Lemoore CA 93245-0580 |
| Practice Telephone | 5599247005 |
| Mailing Telephone | 5593864500 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | HEMANTA MUNGUR (CFO) |
| Authorized Official Telephone | 5593864500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | PHY57054 | 01 |
| Other Name | Type Code |
|---|---|
| Aria Community Health Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811516438 | Avenal Community Health Center | Clinic/Center | 1000 Skyline Blvd Ste A, Avenal, CA 93204-1850 | 2020-04-14 |
| 1265051882 | Avenal Community Health Center | Clinic/Center | 1000 Skyline Blvd Ste B, Avenal, CA 93204-1850 | 2020-04-14 |
| 1174142798 | Avenal Community Health Center | Clinic/Center | 1000 Skyline Blvd Ste C, Avenal, CA 93204-1850 | 2020-04-14 |
| 1669019139 | Avenal Community Health Center | Clinic/Center | 191 E Polk St., Coalinga, CA 93210 | 2019-12-04 |
| 1700448636 | Avenal Community Health Center | Clinic/Center | 858 N Cherry St Ste F, Tulare, CA 93274-2243 | 2019-07-01 |
| 1871064485 | Avenal Community Health Center | Clinic/Center | 858 N Cherry St Ste E, Tulare, CA 93274-2243 | 2018-12-07 |
| 1306349501 | Avenal Community Health Center | Clinic/Center | 271 N L St, Dinuba, CA 93618-2107 | 2018-03-14 |
| 1700391943 | Avenal Community Health Center | Clinic/Center | 781 Sequoia Ave Ste 3, Lindsay, CA 93247 | 2017-12-11 |
| 1225557739 | Avenal Community Health Center | Clinic/Center | 329 W 8th St Ste 103, Hanford, CA 93230-4533 | 2017-09-15 |
| 1467971960 | Avenal Community Health Center | Clinic/Center | 329 W 8th St Ste 107, Hanford, CA 93230-4533 | 2017-09-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AVENAL COMMUNITY HEALTH CENTER | 555 E St, Lemoore, CA 93245-2617 |
| Street Address |
209 C ST |
| City | LEMOORE |
| State | CA |
| Zip Code | 93245-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437437761 | Vivi Robyn Stafford | General Practice | 209 C St, Lemoore, CA 93245-2930 | 2011-08-03 |
| 1548818784 | Mandeep Kaur Sidhu | Nurse Practitioner | 209 C St, Lemoore, CA 93245-2930 | 2019-08-30 |
| 1841775228 | Heather Lynn Pratt | Nurse Practitioner | 209 C St, Lemoore, CA 93245-2930 | 2018-10-01 |
| 1669929543 | Avenal Community Health Center | Clinic/Center | 209 C St, Lemoore, CA 93245-2930 | 2016-09-08 |
| 1902287089 | Daphine Kaniaru | Family Medicine | 209 C St, Lemoore, CA 93245-2930 | 2015-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649794975 | Fil-am Medical Transportation Service | Home Health | 873 Sheffield Circle, Lemoore, CA 93245 | 2017-07-28 |
| 1568918290 | Samantha Crystal Avila | Student in an Organized Health Care Education/Training Program | 1114 Paradise Dr., Lemoore, CA 93245 | 2016-09-01 |
| 1306042718 | Denise M. Riemer, Dds A Professional Corporation | Dentist | 446 C St., Lemoore, CA 93245 | 2007-06-22 |
| 1295952893 | Kathy Marie Trujeque | Counselor | 122 Quandt Place # B, Lemoore, CA 93245 | 2007-04-18 |
| 1194847848 | Allen Bruce Short | Dentist | 442 C St, Lemoore, CA 93245 | 2007-04-04 |
| 1043360530 | William N Uyeyama | Dentist | 442 C Street, Lemoore, CA 93245 | 2007-01-10 |
| 1063577401 | Central Union Elementary School District | Local Education Agency (LEA) | 15783 18th Avenue, Lemoore, CA 93245 | 2006-12-26 |
| 1699782516 | Jeffrey Garcia | Optometrist | 162 W D Street, Lemoore, CA 93245 | 2006-08-02 |
| 1932143542 | Herbert Lee Starks Jr. | Physical Therapist | 899 Dogwood Ave, Apt 10c, Lemoore, CA 93245 | 2006-06-15 |
| 1760686463 | Judd Atwood Whiting | Anesthesiology | 937 Franklin Ave, Dept of Anesthesia, Lemoore, CA 93245 | 2007-06-14 |
| Find all providers in zip 93245 | ||||
| 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 |
|---|---|---|---|---|
| 1093794331 | Save Mart Supermarkets | Pharmacy | 105 W Hanford Armona Rd, Lemoore, CA 93245-2321 | 2006-01-13 |
| 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 | ||||
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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.