Organization Active NPI

SNP Pharmacy LLC

  • Community/Retail Pharmacy
  • West Covina, CA
National Provider Identifier
1174906895
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHY51882OtherCABOARD OF PHARMACY

Other names 1

  • ELEVARE SPECIALTY SERVICES Doing business as

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.

Verify at the official NPI Registry.