Parke Vista Pharmacy

LBN: Sirisansh Llc
Parke Vista Pharmacy is an health care organization with primary practice located at 3838 Sherman Dr. Ste. 1, Riverside CA 92503. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Sirisansh Llc can be contacted via phone (951) 687-4203, or through Palavalli, Sirisha via phone (951) 687-4203.

Contact Information

Primary practice address
3838 Sherman Dr. Ste. 1 Riverside CA 92503
Phone: (951) 687-4203
Fax: (909) 687-1145
Website:
Map and Directions
Authorized official contact:
Name: Palavalli, Sirisha
Phone: (951) 687-4203

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 55696 California
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1063448280
LBN Legal business name Sirisansh Llc
DBA Doing business as Parke Vista Pharmacy
Authorized official Palavalli, Sirisha
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 11th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063448280 NPPES
California MEDICAID PHA420140
California Other 1995845

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