CROWN VALLEY PHARMACY (NPI# 1790082089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790082089 |
| Entity Type | Organization |
| Organization Name | CROWN VALLEY PHARMACY |
| Other Organization Name | CROWN VALLEY PHARMACY |
| Practice Address |
3720 Sierra Hwy Unit G Acton CA 93510-1272 |
| Practice Telephone | 6612699500 |
| Practice Fax Number | 6612699501 |
| Mailing Telephone | 6612699500 |
| Mailing Fax Number | 6612699501 |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2016-04-11 |
| Authorized Official Name | JENISA CHOWDHURY (OWNER, STORE MANAGER) |
| Authorized Official Telephone | 6612699500 |
| 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 |
PHY51552 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2128956 | 01 |
| Other Name | Type Code |
|---|---|
| Crown Valley Pharmacy | Doing Business As Name - Organization |
| Street Address |
3720 SIERRA HWY UNIT G |
| City | ACTON |
| State | CA |
| Zip Code | 93510-1272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275003543 | Lessa Ileana Acosta | Substance Abuse Rehabilitation Facility | 30500 Arrastre Canyon Rd., Acton, CA 93510 | 2018-11-29 |
| 1649792219 | Jean Ella Fish | Registered Nurse | 30500 Arrestre Canyon Rd, Po Box 25, Acton, CA 93510 | 2017-07-14 |
| 1194118836 | Debbie Welch | Nurse Practitioner | 2310 West Ave Y8, Acton, CA 93510 | 2015-03-05 |
| 1831465673 | Salvatore Phillip Tarantino | Pharmacist | 3720 West Sierra Highway Unit G, Acton, CA 93510 | 2012-03-27 |
| 1134320534 | Phillip Vincent Pinto | Chiropractor | 3630 Banson St, Acton, CA 93510 | 2007-05-31 |
| 1659403269 | Marshawn Rodgers | Counselor | 30500 Arrastre Canyon Rd, Acton, CA 93510 | 2007-03-09 |
| 1598825564 | Palmerrx Inc | Pharmacy | 3630 Smith Ave, Acton, CA 93510 | 2006-12-11 |
| 1326149899 | Vanessa Naumann Johnson | Chiropractor | 3942 West Sierra Hwy, Suite 6, Acton, CA 93510 | 2006-09-26 |
| 1538136007 | Marian C Yeargin | Acupuncturist | 33315 Santiago Rd, Acton, CA 93510 | 2006-03-03 |
| 1518453257 | Chantell Smeisser | Counselor | 30500 Arrastre Canyon Rd, Acton, CA 93510 | 2018-07-05 |
| Find all providers in zip 93510 | ||||
| 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 |
|---|---|---|---|---|
| 1598825564 | Palmerrx Inc | Pharmacy | 3630 Smith Ave, Acton, CA 93510 | 2006-12-11 |
| 1255430617 | Cvs Pharmacy Inc | Pharmacy | 344 Great Rd, Acton, MA 01720-4004 | 2006-09-22 |
| 1467551820 | Cvs Pharmacy Inc | Pharmacy | 400 Massachusetts Ave, Acton, MA 01720-3744 | 2006-09-22 |
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|---|---|---|---|---|
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| 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.