Organization Active NPI

Alivio Pharmacy

  • Community/Retail Pharmacy
  • San Fernando, CA
National Provider Identifier
1174322119
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ALIVIO PHARMACY
Doing business as
Alivio Pharmacy
Practice address
737 S Workman St
San Fernando, CA 91340-4154
Phone
(747) 253-7073
Fax
(747) 253-7071
NPI assigned
Mar 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Gary Adams
Title
Owner
Phone
(747) 253-7073

Specialties & licenses 1

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

Addresses

Primary practice location

737 S Workman St
San Fernando, CA 91340-4154

Mailing address

737 S Workman St
San Fernando, CA 91340-4154
Phone (747) 253-7073

Other names 1

  • Alivio Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251105000981 CA Part B Supplier - Mass Immunization (Roster Biller Only) 7911497334 Practice locations: San Fernando, CA

National Provider Directory

National Provider Directory

Locations

737 S Workman St
San Fernando, CA 91340
Phone (747) 253-7073

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1174322119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 S WORKMAN ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404154",
            "telephone_number": "747-253-7073",
            "fax_number": "747-253-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 S WORKMAN ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404154",
            "telephone_number": "747-253-7073",
            "fax_number": "747-253-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVIO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "747-253-7073"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alivio Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.