Active NPI
Radiance Pharmacy Inc
- Community/Retail Pharmacy
- San Bernardino, CA
National Provider Identifier
1013492024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- RADIANCE PHARMACY INC
- Practice address
- 1823 Commercenter W
San Bernardino, CA 92408-3300 - Phone
- (909) 333-4567
- Fax
- (909) 333-4564
- NPI assigned
- Sep 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nikunj C Dhami
- Title
- President/Ceo
- Phone
- (909) 333-4567
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1823 Commercenter W
San Bernardino, CA 92408-3300
Mailing address
1823 Commercenter W
San Bernardino, CA 92408-3300
Phone (909) 333-4567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY61349 | Other | CA | BOP |
Other names 1
- RADIANCE PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Radiance Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- San Bernardino, CA
- NPI 1578128088
Locations
1823 Commercenter W
San Bernardino, CA 92408
Phone (909) 333-4567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762732800000",
"number": "1013492024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1823 COMMERCENTER W",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083300",
"telephone_number": "909-333-4567",
"fax_number": "909-333-4564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 COMMERCENTER W",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083300",
"telephone_number": "909-333-4567",
"fax_number": "909-333-4564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIANCE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-26",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A",
"authorized_official_last_name": "DHAMI",
"authorized_official_first_name": "NIKUNJ",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "909-333-4567"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOP",
"identifier": "PHY61349",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RADIANCE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.