Organization Active NPI

La Buena Vida Pharmacy Inc

  • Long Term Care Pharmacy
  • Coachella, CA
National Provider Identifier
1346114105
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
LA BUENA VIDA PHARMACY INC
Practice address
51335 Cesar Chavez St Ste 116
Coachella, CA 92236-1528
Phone
(760) 398-8866
Fax
(760) 398-9966
NPI assigned
Oct 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Simone YikNPI 1003029711
Title
Pharmacy Manager
Phone
(760) 398-8866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

51335 Cesar Chavez St Ste 116
Coachella, CA 92236-1528

Mailing address

51335 Cesar Chavez St Ste 116
Coachella, CA 92236-1528
Phone (760) 398-8866

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1346114105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51335 CESAR CHAVEZ ST STE 116",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361528",
            "telephone_number": "760-398-8866",
            "fax_number": "760-398-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51335 CESAR CHAVEZ ST STE 116",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361528",
            "telephone_number": "760-398-8866",
            "fax_number": "760-398-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BUENA VIDA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "YIK",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "760-398-8866"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coachella, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.