SEVENTH DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER, INC. (NPI# 1790030773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790030773 |
| Entity Type | Organization |
| Organization Name | SEVENTH DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER, INC. |
| Other Organization Name | LOMA LINDA UNIVERSITY - HIGHLAND SPRINGS PHARMACY |
| Practice Address |
81 Highland Springs Ave Suite 90 Beaumont CA 92223-3170 |
| Practice Telephone | 9518493378 |
| Practice Fax Number | 9518493332 |
| Mailing Telephone | 9518493378 |
| Mailing Fax Number | 9518493332 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2018-06-13 |
| Authorized Official Name | MR. KERRY LYNN HEINRICH (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9095584308 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY50933 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5644720 | 01 |
| Other Name | Type Code |
|---|---|
| Loma Linda University - Highland Springs Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447485990 | Seventh Day Adventists Loma Linda University Medical Center, Inc. | Pharmacy | 25875 Barton Rd, Ste B-108, Loma Linda, CA 92354-3891 | 2009-05-27 |
| Street Address |
81 HIGHLAND SPRINGS AVE SUITE 90 |
| City | BEAUMONT |
| State | CA |
| Zip Code | 92223-3170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053379768 | Lui Kong Yap | Physician Assistant | 81 Highland Springs Ave, Ste.200, Beaumont, CA 92223 | 2006-05-02 |
| 1174050611 | Saida Hardoon | Family Medicine | 81 Highland Springs Ave, Beaumont, CA 92223-3176 | 2017-05-15 |
| 1629482641 | Beaver Medical Group Lp | Non-Pharmacy Dispensing Site | 81 Highland Springs Ave, Suite 200, Beaumont, CA 92223-3170 | 2014-06-18 |
| 1316381650 | Amar Dixit | Allergy & Immunology | 81 Highland Springs Ave, Beaumont, CA 92223-3176 | 2013-04-17 |
| 1124369087 | Douglas Stephan Anders | Family Medicine | 81 Highland Springs Ave, Suite 306, Beaumont, CA 92223-3170 | 2013-03-01 |
| 1093945578 | Loma Linda University Radiation Medicine | Radiology | 81 Highland Springs Ave, Beaumont, CA 92223-2511 | 2009-07-20 |
| 1871766121 | Faculty Physicians and Surgeons of Llusm | Pediatrics | 81 Highland Springs Ave, Beaumont, CA 92223-2511 | 2008-04-08 |
| 1982709432 | Mark Thomas Reis | Orthopaedic Surgery | 81 Highland Springs Ave, Suite 103, Beaumont, CA 92223-3170 | 2006-09-13 |
| 1407898646 | Sherif F. Khalil | Internal Medicine | 81 Highland Springs Ave, Ste 200, Beaumont, CA 92223 | 2006-06-12 |
| 1063452811 | Susannah Reay Elton | Physician Assistant | 81 Highland Springs Ave, Beaumont, CA 92223-3170 | 2006-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115376 | National Vision Inc | Optometrist | 1561 East 2nd Street, Suite 300, Beaumont, CA 92223 | 2020-08-18 |
| 1417566985 | Krystle Santana | Marriage & Family Therapist | 14700 Manzanita Park Rd, Beaumont, Ca 9223, Beaumont, CA 92223 | 2020-07-30 |
| 1063045656 | Beaver Medical Group, L.p. | Durable Medical Equipment & Medical Supplies | 839 Highland Springs Parkway, Building C, Beaumont, CA 92223 | 2020-02-21 |
| 1730745969 | Paola Correa | Counselor | 24700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-05-13 |
| 1639662802 | Jeremy Ball | Optometrist | 1659 E 6th St Ste A, Beaumont, CA 92223 | 2018-06-12 |
| 1659894368 | Jennifer Vargas | Counselor | 136 E. 6th St., Beaumont, CA 92223 | 2017-07-25 |
| 1770931487 | Amy Appleby | Student in an Organized Health Care Education/Training Program | 1360 Coriander Ct, Beaumont, CA 92223 | 2016-06-03 |
| 1427410364 | Jacob Garcia | Licensed Vocational Nurse | 38686 Florence Ave, Beaumont, CA 92223 | 2016-03-21 |
| 1396121588 | Anastasia B Flores | Counselor | 14700 Manzanita Park Rd., Beaumont, CA 92223 | 2015-08-11 |
| 1326424227 | Cindy Quyen Huynh | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223 | 2015-08-03 |
| Find all providers in zip 92223 | ||||
| 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] |
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|---|---|---|---|---|
| 1427689058 | Muhib Mohammad | Pharmacy | 3590 College St, Beaumont, TX 77701-4614 | 2020-02-02 |
| 1487086401 | Csp Pharmacy Services LLC | Pharmacy | 490 Interstate 10 N Ste 400, Beaumont, TX 77702-1822 | 2013-08-01 |
| 1205991528 | Tri - X Drugs Inc | Pharmacy | 881 Highway 198, Beaumont, MS 39423-2070 | 2006-12-27 |
| 1609937770 | Retail Investors of Texas, Ltd. | Pharmacy | 3955 Phelan Blvd, Beaumont, TX 77707-2223 | 2006-12-13 |
| 1689740342 | Retail Investors of Texas, Ltd. | Pharmacy | 5960 Highway 105, Beaumont, TX 77708-3700 | 2006-11-27 |
| 1578651683 | Luparellos Corner Pharmacy LLC | Pharmacy | 3570 Fannett Rd, Beaumont, TX 77705-1365 | 2006-10-11 |
| 1447354279 | Cvs Pharmacy Inc | Pharmacy | 2950 Dowlen Rd, Beaumont, TX 77706-7226 | 2006-09-12 |
| 1982708798 | Cvs Pharmacy Inc | Pharmacy | 3595 College St, Beaumont, TX 77701-4615 | 2006-09-12 |
| 1942304746 | Cvs Pharmacy Inc | Pharmacy | 6850 Eastex Fwy, Beaumont, TX 77708-4317 | 2006-09-12 |
| 1639273469 | Cvs Pharmacy Inc | Pharmacy | 3890 Phelan Blvd, Beaumont, TX 77707-2247 | 2006-09-12 |
| Find all providers in BEAUMONT | ||||
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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.