NPIMap

Organization Active NPI

Parkview Medical Plaza Pharmacy LTC

  • Long Term Care Pharmacy
  • Riverside, CA
National Provider Identifier
1114245495
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY50195 Issued in CA
Legal business name
PARKVIEW MEDICAL PLAZA PHARMACY LTC
Practice address
3975 Jackson St Ste 111
Riverside, CA 92503-3946
Phone
(951) 637-7054
NPI assigned
May 11, 2010
Organization subpart
Yes
Parent organization
PARKVIEW MEDICAL PLAZA PHARMCY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Ramesh Upadhyayula, RPHNPI 1467775619
Title
President
Phone
(951) 892-5828

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
Long Term Care Pharmacy 3336L0003X PHY50195 CA Primary

Addresses

Primary practice location

3975 Jackson St Ste 111
Riverside, CA 92503-3946

Mailing address

3975 Jackson St Ste 111
Riverside, CA 92503-3946
Phone (951) 637-7054

National Provider Directory

National Provider Directory
Tax ID family
Parkview Medical Plaza Pharmacy Inc3 organizations share this tax ID, including this one
Part of
Parkview Medical Plaza Pharmacy Inc

Other organizations with this tax ID 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1114245495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 JACKSON ST STE 111",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033946",
            "telephone_number": "951-637-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 JACKSON ST STE 111",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033946",
            "telephone_number": "951-637-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW MEDICAL PLAZA PHARMACY LTC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKVIEW MEDICAL PLAZA PHARMCY INC",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "UPADHYAYULA",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-892-5828",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY50195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 11, 2010; 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.