Organization Active NPI

Viha Pharma Inc

Doing business as CBC Mission Pharmacy

  • Community/Retail Pharmacy
  • Pomona, CA
National Provider Identifier
1013919687
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VIHA PHARMA INC
Doing business as
CBC Mission Pharmacy
Practice address
716 E Mission Blvd
Ste a
Pomona, CA 91766-2040
Phone
(909) 865-1149
Fax
(909) 622-3412
NPI assigned
Aug 12, 2005
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Maheshkumar Kaneria, RPHNPI 1891050167
Title
Owner
Phone
(909) 865-1149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

716 E Mission Blvd
Ste a
Pomona, CA 91766-2040

Mailing address

716 E Mission Blvd
Ste a
Pomona, CA 91766-2040
Phone (909) 865-1149

Other identifiers 4

IdentifierTypeStateIssuer
0596087OtherNCPDP
PHA418460MedicaidCA
0596087OtherCANABP
1013919687MedicaidCA

Other names 1

  • CBC Mission Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230804003219 CA Part B Supplier - Mass Immunization (Roster Biller Only) 9133580293 Practice locations: Pomona, CA
O20250313000956 CA DME Supplier - Pharmacy 9133580293 Practice locations: Pomona, CA

National Provider Directory

National Provider Directory
Tax ID family
CBC Care Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1013919687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E MISSION BLVD",
            "address_2": "STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662040",
            "telephone_number": "909-865-1149",
            "fax_number": "909-622-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E MISSION BLVD",
            "address_2": "STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662040",
            "telephone_number": "909-865-1149",
            "fax_number": "909-622-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIHA PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "KANERIA",
        "authorized_official_first_name": "MAHESHKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-865-1149",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0596087",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA418460",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0596087",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013919687",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CBC Mission Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CBC Mission Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.