PROVERI RX LLC (NPI# 1457913808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457913808 |
| Entity Type | Organization |
| Organization Name | PROVERI RX LLC |
| Practice Address |
5713 N Pershing Ave # A3 Stockton CA 95207-4942 |
| Practice Telephone | 8888214174 |
| Enumeration Date | 2019-07-06 |
| Last Update Date | 2020-05-04 |
| Authorized Official Name | DR. DAVIS TRAN (MANAGER) |
| Authorized Official Telephone | 8053003584 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Proveri Pharmacy Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909040 | Proveri Rx LLC | Pharmacy | 4873 West Ln Ste B, Stockton, CA 95210-4548 | 2020-07-13 |
| 1821619537 | Proveri Rx LLC | Pharmacy | 5713 N Pershing Ave # A3, Stockton, CA 95207-4942 | 2020-05-04 |
| Street Address |
5713 N PERSHING AVE # A3 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-4942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558971945 | Usof Hashim | Pharmacist | 5713 N Pershing Ave # A3, Stockton, CA 95207-4942 | 2020-07-31 |
| 1821619537 | Proveri Rx LLC | Pharmacy | 5713 N Pershing Ave # A3, Stockton, CA 95207-4942 | 2020-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1356951370 | Valley Scripts | Pharmacy | 1150 W Robinhood Dr Ste 2b, Stockton, CA 95207-5630 | 2020-08-04 |
| 1205394673 | Bruce Enterprise LLC | Pharmacy | 123 S Commerce St Ste A, Stockton, CA 95202-2837 | 2019-03-05 |
| 1073983144 | Bjrx Pharmacy Ltc Inc | Pharmacy | 1801 E March Ln # 270, Stockton, CA 95210-6629 | 2015-10-01 |
| 1124127691 | Zumwalt Pharmacy Inc | Pharmacy | 19 Public Sq, Stockton, MO 65785-7617 | 2006-09-21 |
| 1396726634 | Roderick Pharmacy Group Inc | Pharmacy | 711 E Market St, Stockton, CA 95202-3104 | 2005-11-11 |
| 1699285973 | Bunnaun Uch | Pharmacy | 4555 N Pershing Ave Ste 7, Stockton, CA 95207-6739 | 2017-10-02 |
| 1306939749 | Bunnaun Uch | Pharmacy | 4555 N Pershing Ave, Ste 7, Stockton, CA 95207-6740 | 2006-09-30 |
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| 1629604368 | Jafa Pharmaceuticals, Inc. | Pharmacy | 95 Montgomery Dr Ste 108, Santa Rosa, CA 95404-6617 | 2020-03-13 |
| 1669019113 | Shanzo Inc | Pharmacy | 6255 University Ave Ste A1, San Diego, CA 92115-5727 | 2019-12-03 |
| 1265077283 | Western Pharmacy Group LLC | Pharmacy | 610 Gateway Center Way Ste H-i, San Diego, CA 92102-4533 | 2019-11-13 |
| 1083255129 | Desert Best Pharmacy, Inc. | Pharmacy | 170 E Tahquitz Canyon Way, Palm Springs, CA 92262-6431 | 2019-09-30 |
| 1538718838 | Xpress Med Pharmacy Inc | Pharmacy | 16929 Bushard St, Fountain Valley, CA 92708-2819 | 2019-09-09 |
| 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.