FAIRVEOLA BANKS (NPI# 1285621813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285621813 |
| Entity Type | Organization |
| Organization Name | FAIRVEOLA BANKS |
| Other Organization Name | INTRA RX DRUGS LYNWOOD |
| Practice Address |
3628 E Imperial Hwy Ste 102 Lynwood CA 90262-2643 |
| Practice Telephone | 3106372006 |
| Practice Fax Number | 3106372522 |
| Mailing Telephone | 3106372006 |
| Mailing Fax Number | 3106372522 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2017-02-21 |
| Authorized Official Name | BIANCA BANKS (PHARMACY COORDINATOR) |
| Authorized Official Telephone | 3106372006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY48607 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2127503 | 01 |
| Other Name | Type Code |
|---|---|
| Intra Rx Drugs Lynwood | Doing Business As Name - Organization |
| Street Address |
3628 E IMPERIAL HWY STE 102 |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043753353 | Candita Potts | Nurse Practitioner | 3628 E Imperial Hwy, Lynwood, CA 90262-2643 | 2016-11-18 |
| 1760811251 | David Friedberg, Md Inc. | Orthopaedic Surgery | 3628 E Imperial Hwy, Suite 300, Lynwood, CA 90262-2643 | 2013-11-05 |
| 1720320542 | Michael Angel Jimenez, Md, Inc. | Surgery | 3628 E Imperial Hwy, Suite 401, Lynwood, CA 90262-2643 | 2013-03-19 |
| 1578875332 | Tchaka B Shepherd Md Inc | Surgery | 3628 E Imperial Hwy, Suite 401, Lynwood, CA 90262-2643 | 2010-07-09 |
| 1558689984 | Kimberly Sobell Heugele | Pediatrics | 3628 E Imperial Hwy, Suite #301, Lynwood, CA 90262-2643 | 2010-05-10 |
| 1750608485 | Jane Lee Gin | Surgery | 3628 E Imperial Hwy, Suite 408, Lynwood, CA 90262-2643 | 2010-04-20 |
| 1164748786 | Almaas Shaikh, Md Inc | Surgery | 3628 E Imperial Hwy, Suite 401, Lynwood, CA 90262-2643 | 2010-04-08 |
| 1639342330 | Maxine M. Anderson, M.d., Inc. | Surgery | 3628 E Imperial Hwy, Suite 401, Lynwood, CA 90262-2643 | 2008-04-02 |
| 1710175641 | Gracie-ann Dinkins Md Inc | Surgery | 3628 E Imperial Hwy, Suite 401, Lynwood, CA 90262-2643 | 2007-10-04 |
| 1750571352 | Mona Shah | Surgery | 3628 E Imperial Hwy, Suite 202, Lynwood, CA 90262-2643 | 2007-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| 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 |
|---|---|---|---|---|
| 1770148264 | Apple Rx Pharmacy Inc | Pharmacy | 3625 Martin Luther King Jr Blvd Ste 1, Lynwood, CA 90262-3509 | 2019-05-09 |
| 1528283348 | Santa Elena Pharmacy | Pharmacy | 9910 Long Beach Blvd Ste F, Lynwood, CA 90262-1561 | 2007-04-16 |
| 1699710491 | Garfield Beach Cvs LLC | Pharmacy | 3800 Martin Luther King Jr Blvd, Lynwood, CA 90262-3602 | 2006-06-17 |
| 1619429420 | Alina Zala Inc. | Pharmacy | 3737 Martin Luther King Jr Blvd, #101, Lynwood, CA 90262-3513 | 2016-10-27 |
| 1295818342 | Quali-care Health Corporation | Pharmacy | 3737 Martin Luther King Jr Blvd, Suite 101, Lynwood, CA 90262-3513 | 2006-10-23 |
| 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 |
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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.