IMGRX SJ VALLEY (NPI# 1316294598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316294598 |
| Entity Type | Organization |
| Organization Name | IMGRX SJ VALLEY |
| Other Organization Name | UNITED HEALTH CENTERS PHARMACY EARLIMART |
| Practice Address |
476 E Washington Ave Earlimart CA 93219 |
| Mailing Address |
1330 Enclave Pkwy Ste 900 Houston TX 77077-2577 |
| Practice Telephone | 6618492781 |
| Practice Fax Number | 7608593614 |
| Mailing Telephone | 2817494000 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2019-03-13 |
| Authorized Official Name | MR. MICHAEL BROWN (VP, MANAGED SERVICES) |
| Authorized Official Telephone | 2817494764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY 54521 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| United Health Centers Pharmacy Earlimart | 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 |
| 1013024132 | Imgrx Sj Valley | Pharmacy | 650 Zediker Avenue, Parlier, CA 93648 | 2006-08-24 |
| 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 |
476 E WASHINGTON AVE |
| City | EARLIMART |
| State | CA |
| Zip Code | 93219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629309042 | Preeti Prakash | Dentist | 476 E Washington Ave, Earlimart, CA 93219 | 2010-01-25 |
| 1255983409 | Blanca Mejia | Psychologist | 476 E Washington Ave, Earlimart, CA 93219 | 2019-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699620 | Reedley Community Hospital | Clinic/Center | 398 S Church Road, Earlimart, CA 93219 | 2020-11-06 |
| 1124643598 | Valley Healthcare Centers | Clinic/Center | 369 N Church Rd, Earlimart, CA 93219 | 2020-06-11 |
| 1962770065 | Earlimart Elementary School District | Local Education Agency (LEA) | 785 East Center Ave, Earlimart, CA 93219 | 2011-12-05 |
| 1316174162 | Jose Antonio Torres | Dentist | 476 E Washinton Avenue, Earlimart, CA 93219 | 2009-06-19 |
| 1891815080 | Sam Khoo | Physician Assistant | 476 E. Washington Street, Earlimart, CA 93219 | 2007-03-30 |
| 1093851966 | Gary Dominick Schouest | Dentist | 476 E. Washington Ave., Earlimart, CA 93219 | 2007-01-29 |
| 1417939968 | United Health Centers of The San Joaquin Valley | Clinic/Center | 476 E Washington, Earlimart, CA 93219 | 2005-11-18 |
| 1679784698 | United Health Centers of The San Joaquin Valley | Clinic/Center | 476 E Washington, Earlimart, CA 93219 | 2007-05-24 |
| 1649481623 | United Health Centers of The San Joaquin Valley | Clinic/Center | 476 E Washington, Earlimart, CA 93219 | 2007-05-24 |
| 1568671832 | United Health Centers of The San Joaquin Valley | Clinic/Center | 476 E Washington, Earlimart, CA 93219 | 2007-05-22 |
| Find all providers in zip 93219 | ||||
| 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 |
|---|---|---|---|---|
| 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.