Innova Pharmacy of Arden-Arcade

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

INNOVA PHARMACY OF ARDEN-ARCADE

Practice address

2400 Glendale LN Ste a
Sacramento, CA 95825-2431

Phone

(916) 220-3344

Fax

(916) 481-6680

NPI assigned

Feb 9, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Tim Thien Le, PHARM.D.NPI 1659417897

Title

Ceo

Phone

(916) 220-3344

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tim Thien Le, PHARM. D.

  • Pharmacist
  • Carmichael, CA
  • NPI 1659417897
  NPD Authorized official
• Anthony On, PHARMD

  • Pharmacist
  • Carmichael, CA
  • NPI 1962198838
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1003513110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 JAMESON CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080896",
            "telephone_number": "916-220-3344",
            "fax_number": "916-481-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 GLENDALE LN STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252431",
            "telephone_number": "916-220-3344",
            "fax_number": "916-481-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA PHARMACY OF ARDEN-ARCADE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "THIEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-220-3344",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uwaye Michelle Inneh
• Inner Symmetry Nursing Corporation
• Paul Innerarity, M.A., LMFT
• Innova Pharmacy II
• Innova Pharmacy III
• Innovage California Pace-Sacramento, LLC
• Innovative DME LLC
• Isao K. Inouye, MD
• Maya Inozemtseva, PT, DPT, ATC
• Inpathy Behavioral Healthcare Group PC

• Community/Retail Pharmacy in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.