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Export Provider Record NPI 1124647011
Innova Pharmacy Ii
Organization Subpart: NO
Active
NPI Number1124647011
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1124647011
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2020-04-11
Last Updated2021-10-22
Authorized OfficialTim Le
PRESIDENT/CEO
Phone: 9162203344
Mailing Address3701 J St Ste 101
Sacramento, CA 95816-5542
United States
Phone: (916) 220-3344
📍 View Map
Primary Practice Address3701 J St Ste 101
Sacramento, CA 95816-5542
United States
Phone: (916) 465-8999 | Fax: (916) 475-1285
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes3336C0003X – Pharmacy, Community/Retail Pharmacy
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About NPI 1124647011

Innova Pharmacy Ii is an organization registered in the CMS NPPES NPI Registry with NPI number 1124647011. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Sacramento, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2020-04-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124647011?

NPI 1124647011 belongs to Innova Pharmacy Ii, a Pharmacy, Community/Retail Pharmacy in Sacramento, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124647011 active?

The current status of NPI 1124647011 in the NPPES registry is Active. The record was last updated on 2021-10-22.

What specialty is NPI 1124647011?

NPI 1124647011 is classified under the taxonomy Pharmacy, Community/Retail 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 1124647011?

You can verify NPI 1124647011 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 1124647011?

The primary practice address on file for NPI 1124647011 is 3701 J St Ste 101, Sacramento, CA 95816-5542. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124647011 issued?

NPI 1124647011 was first issued (enumerated) on 2020-04-11. The NPPES record was last updated on 2021-10-22.

Practice Location Map

Innova Pharmacy Ii is located at 3701 J St Ste 101, Sacramento, CA. Use the map below to find directions or verify the practice location.

📍 3701 J St Ste 101, Sacramento, CA 95816-5542  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Innova Pharmacy Ii. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162