PRUDENT HEALTHCARE INC (NPI# 1639687585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639687585 |
| Entity Type | Organization |
| Organization Name | PRUDENT HEALTHCARE INC |
| Other Organization Name | REGAL SPECIALTY PHARMACY |
| Practice Address |
1875 California Ave Ste 101 Corona CA 92881-6477 |
| Practice Telephone | 9518171005 |
| Practice Fax Number | 9518171020 |
| Mailing Telephone | 9518171005 |
| Mailing Fax Number | 9518171020 |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2019-01-10 |
| Authorized Official Name | MR. NIKESH B. PATEL (PRESIDENT/CEO/OWNER) |
| Authorized Official Telephone | 9518171005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
55935 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF PHARMACY | 55935 | 01 |
| Other Name | Type Code |
|---|---|
| Regal Specialty Pharmacy | Doing Business As Name - Organization |
| VIVA PHARMACY | Doing Business As Name - Organization |
| Street Address |
1875 CALIFORNIA AVE STE 101 |
| City | CORONA |
| State | CA |
| Zip Code | 92881-6477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| Find all providers in zip 92881 | ||||
| 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 |
|---|---|---|---|---|
| 1952917528 | Ayansh Inc | Pharmacy | 1820 Fullerton Ave Ste 105, Corona, CA 92881-3160 | 2020-09-19 |
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1942778675 | Kfk Corp | Pharmacy | 720 Ramona Ave Ste 102, Corona, CA 92879-2153 | 2018-11-12 |
| 1154802387 | Corona Pharmacy Inc. | Pharmacy | 10409a Corona Ave, Corona, NY 11368-2923 | 2018-08-25 |
| 1063940443 | Brand Rx Pharmacy Corp | Pharmacy | 97-05 A 57th Avenue, Corona, NY 11368 | 2017-05-30 |
| 1164959821 | Cse Drug Corp | Pharmacy | 4043 Junction Blvd, Corona, NY 11368-2121 | 2017-05-12 |
| 1689109381 | Myven Pharmacy Corp. | Pharmacy | 3535b Junction Blvd, Corona, NY 11368-3517 | 2017-05-01 |
| 1952848962 | Corona Wellness Pharmacy Corp. | Pharmacy | 9608 37th Ave, Corona, NY 11368-1735 | 2017-01-28 |
| 1104270487 | My Family Pharmacy Inc | Pharmacy | 9608 Northern Blvd, Corona, NY 11368-1046 | 2016-04-22 |
| 1194092866 | National Pharmacy Corp. | Pharmacy | 4015 National St, Corona, NY 11368-2320 | 2011-11-24 |
| Find all providers in CORONA | ||||
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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.