Organization Active NPI

Eadara, Inc.

Doing business as Magnolia Pharmacy

  • Pharmacy
  • Riverside, CA
National Provider Identifier
1073321337
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
EADARA, INC.
Doing business as
Magnolia Pharmacy
Practice address
7130 Magnolia Ave Ste C&F
Riverside, CA 92504-3864
Phone
(951) 637-3399
NPI assigned
Dec 19, 2024
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Chandrasekhar EadaraNPI 1053855585
Title
Ceo/Cfo/Sec./Dir.
Phone
(361) 813-4639

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

7130 Magnolia Ave Ste C&F
Riverside, CA 92504-3864

Mailing address

7130 Magnolia Ave Ste C&F
Riverside, CA 92504-3864

Other names 1

  • Magnolia Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

7130 Magnolia Ave
Ste Cf
Riverside, CA 92504
Phone (951) 637-3399

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": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1073321337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 MAGNOLIA AVE STE C&F",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 MAGNOLIA AVE STE C&F",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043864",
            "telephone_number": "951-637-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EADARA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "EADARA",
        "authorized_official_first_name": "CHANDRASEKHAR",
        "authorized_official_title_or_position": "CEO/CFO/SEC./DIR.",
        "authorized_official_telephone_number": "361-813-4639"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.