Active NPI
SNP Pharmacy LLC
- Community/Retail Pharmacy
- West Covina, CA
National Provider Identifier
1174906895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SNP PHARMACY LLC
- Doing business as
- ELEVARE SPECIALTY SERVICES
- Practice address
- 1900 W Garvey Ave S Ste 200&300
West Covina, CA 91790-2656 - Phone
- (833) 353-8273
- Fax
- (844) 484-4463
- NPI assigned
- Jun 30, 2015
- Organization subpart
- Yes
- Parent organization
- SKILLED NURSING PHARMACY, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruby Baylin
- Title
- Manager
- Phone
- (626) 820-5810
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X | PHY51882 | CA | |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1900 W Garvey Ave S Ste 200&300
West Covina, CA 91790-2656
Mailing address
900 Western Ave
Glendale, CA 91201-2353
Phone (833) 353-8273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY51882 | Other | CA | BOARD OF PHARMACY |
Other names 1
- ELEVARE SPECIALTY SERVICES
National Provider Directory
National Provider Directory- Part of
- SNP Pharmacy LLC
Locations
900 Western Ave
Glendale, CA 91201
Phone (833) 353-8273
1900 W Garvey Ave S
Ste 200300
West Covina, CA 91790
Phone (833) 353-8273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776384000000",
"number": "1174906895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 WESTERN AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912012353",
"telephone_number": "833-353-8273",
"fax_number": "844-484-4463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 W GARVEY AVE S STE 200&300",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902656",
"telephone_number": "833-353-8273",
"fax_number": "844-484-4463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNP PHARMACY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SKILLED NURSING PHARMACY, INC.",
"enumeration_date": "2015-06-30",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A",
"authorized_official_last_name": "BAYLIN",
"authorized_official_first_name": "RUBY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "626-820-5810"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "CA",
"license": "PHY51882",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "PHY51882",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ELEVARE SPECIALTY SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.