IMGRX SJ VALLEY (NPI# 1013024132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013024132 |
| Entity Type | Organization |
| Organization Name | IMGRX SJ VALLEY |
| Other Organization Name | UNITED HEALTH CENTERS PARLIER |
| Practice Address |
650 Zediker Avenue Parlier CA 93648 |
| Mailing Address |
815 Brazos St. Suite 900 Austin TX 78701 |
| Practice Telephone | 5596463561 |
| Practice Fax Number | 5596466916 |
| Mailing Telephone | 5125962930 |
| Mailing Fax Number | 5122335828 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2017-08-09 |
| Authorized Official Name | KEVIN REW (GENERAL COUNSEL & COO) |
| Authorized Official Telephone | 5125962930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
54519 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA198030 | 05 |
| Other Name | Type Code |
|---|---|
| United Health Centers Parlier | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194825265 | Imgrx Sj Valley | Pharmacy | 445 11th Street, Orange Cove, CA 93646 | 2006-09-25 |
| 1316294598 | Imgrx Sj Valley | Pharmacy | 476 E Washington Ave, Earlimart, CA 93219 | 2012-08-07 |
| 1962504225 | Imgrx Sj Valley | Pharmacy | 517 S Madera Ave, Kerman, CA 93630-1523 | 2006-09-05 |
| 1871695130 | Imgrx Sj Valley | Pharmacy | 121 Barboza St, Building 3, Mendota, CA 93640-1901 | 2006-09-05 |
| Street Address |
650 ZEDIKER AVENUE |
| City | PARLIER |
| State | CA |
| Zip Code | 93648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407967821 | Mabodawilage Ganga Hematillake | Internal Medicine | 650 S Zediker Ave, Parlier, CA 93648 | 2006-08-31 |
| 1457724924 | United Health Centers of The San Joaquin Valley | Clinic/Center | 601 3rd St, Parlier, CA 93648-2028 | 2015-11-05 |
| 1952685927 | Roberto Morales | Counselor | 601 3rd St, Parlier, CA 93648-2028 | 2011-10-07 |
| 1063675262 | Genesis Family Center | Community/Behavioral Health | 603 3rd St, Parlier, CA 93648-2028 | 2008-07-08 |
| 1053500710 | Eminence Healthcare Services, LLC | Clinic/Center | 603 3rd St, Rooms 25 & 26, Parlier, CA 93648-2028 | 2007-10-18 |
| 1992843379 | Parlier Unified School District | Local Education Agency (LEA) | 900 S Newmark Ave, Parlier, CA 93648-2034 | 2007-02-01 |
| 1235392440 | Promesa Behavioral Health | Community/Behavioral Health | 900 S Newmark Ave, Parlier, CA 93648-2034 | 2008-07-08 |
| 1740479559 | Eminence Healthcare Services, LLC | Clinic/Center | 900 S Newmark Ave, Room 5, Parlier, CA 93648-2034 | 2007-10-17 |
| 1174040661 | Antonia Rodriguez | Licensed Vocational Nurse | 8589 S De La Cruz St, Parlier, CA 93648-2128 | 2017-08-24 |
| 1356536056 | Ruby Quilantan | Counselor | 13574 E Cypress Ave, Parlier, CA 93648-2311 | 2007-09-06 |
| Find all providers in zip 93648 | ||||
| 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 |
|---|---|---|---|---|
| 1487869376 | Fox Drug Store/diane K Jung | Pharmacy | 13699 E Manning Ave, Suite 105, Parlier, CA 93648-9637 | 2007-05-14 |
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| 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.