Innovation Pharmacy Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

INNOVATION PHARMACY INC.

Practice address

18102 Irvine Blvd Ste 102
Tustin, CA 92780-3423

Phone

(949) 340-1700

Fax

(949) 340-1699

NPI assigned

Nov 2, 2023

Organization subpart

No

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

Authorized official

Name

Raymond LiuNPI 1124848486

Title

Pic

Phone

(949) 340-1700

Specialties & licenses 1

Addresses

Other names 1

• Innovation RX Doing business as

Tax ID family

Innovation Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Innovation Pharmacy Inc.

  • Community/Retail Pharmacy
  • Tustin, CA
  • NPI 1710679766
  NPD tax ID

Practitioners 1

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

• Raymond Liu

  • Pharmacist
  • Tustin, CA
  • NPI 1124848486
  NPD Authorized official

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1194598060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD STE 102",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803423",
            "telephone_number": "949-340-1700",
            "fax_number": "949-340-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD STE 102",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803423",
            "telephone_number": "949-340-1700",
            "fax_number": "949-340-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "949-340-1700"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovation RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Innovation Pharmacy Inc.
• Innovi Healthcare Inc.
• Innovi Healthcare Inc.
• Linda Marie Inouye
• Inside Out Counseling Services

• Long Term Care Pharmacy in Tustin, CA
• Providers in Tustin, 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 2, 2023; 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.