Sai Bear Creek Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SAI BEAR CREEK PHARMACY LLC

Practice address

24046 Clinton Keith Rd Ste 107
Wildomar, CA 92595-8060

Phone

(951) 677-4880

NPI assigned

Nov 15, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Kiran NagarajaNPI 1770304917

Title

Pic

Phone

(951) 677-4880

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kiran Nagaraja

  • Pharmacist
  • Wildomar, CA
  • NPI 1770304917
  NPD Authorized official

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1174348122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24046 CLINTON KEITH RD STE 107",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925958060",
            "telephone_number": "951-677-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24046 CLINTON KEITH RD STE 107",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925958060",
            "telephone_number": "951-677-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI BEAR CREEK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "NAGARAJA",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "951-677-4880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ruvalcaba
• Sierra Ruvalcaba
• Kerri Michelle Ryan
• Stephanie Lake Sadaka
• Sai Bear Creek Pharmacy LLC
• Marc Todd Sakoda, D.C.
• Matthew Salanoa
• Amber Nicole Salgado, LVN
• Shelby Sanabria, RBT
• Benjamin Sanchez

• Long Term Care Pharmacy in Wildomar, CA
• Providers in Wildomar, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.