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Export Provider Record NPI 1114245495
Parkview Medical Plaza Pharmacy Ltc
Organization Subpart: YES
Active
NPI Number1114245495
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Long Term Care Pharmacy
Provider Details
NPI1114245495
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2010-05-11
Last Updated2010-05-11
Authorized OfficialRamesh Upadhyayula
PRESIDENT
Phone: 9518925828
Mailing Address3975 Jackson St Ste 111
Riverside, CA 92503-3946
United States
Phone: (951) 637-7054
📍 View Map
Primary Practice Address3975 Jackson St Ste 111
Riverside, CA 92503-3946
United States
Phone: (951) 637-7054
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes3336L0003X – Pharmacy, Long Term Care PharmacyCAPHY50195
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About NPI 1114245495

Parkview Medical Plaza Pharmacy Ltc is an organization registered in the CMS NPPES NPI Registry with NPI number 1114245495. The primary specialty listed is Pharmacy, Long Term Care Pharmacy. The organization is located in Riverside, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-05-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1114245495?

NPI 1114245495 belongs to Parkview Medical Plaza Pharmacy Ltc, a Pharmacy, Long Term Care Pharmacy in Riverside, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1114245495 active?

The current status of NPI 1114245495 in the NPPES registry is Active. The record was last updated on 2010-05-11.

What specialty is NPI 1114245495?

NPI 1114245495 is classified under the taxonomy Pharmacy, Long Term Care Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1114245495?

You can verify NPI 1114245495 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1114245495?

The primary practice address on file for NPI 1114245495 is 3975 Jackson St Ste 111, Riverside, CA 92503-3946. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1114245495 issued?

NPI 1114245495 was first issued (enumerated) on 2010-05-11. The NPPES record was last updated on 2010-05-11.

Practice Location Map

Parkview Medical Plaza Pharmacy Ltc is located at 3975 Jackson St Ste 111, Riverside, CA. Use the map below to find directions or verify the practice location.

📍 3975 Jackson St Ste 111, Riverside, CA 92503-3946  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Parkview Medical Plaza Pharmacy Ltc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1114245495. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Long Term Care PharmacyPHY50195CA
Data Verified from CMS NPPES Last synced: 2026-06-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162