Organization Active NPI

Rxnovo LLC

Doing business as Tib LTC

  • Long Term Care Pharmacy
  • Newark, CA
National Provider Identifier
1447736509
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
55535 Issued in CA
Legal business name
RXNOVO LLC
Doing business as
Tib LTC
Practice address
5886 Mowry School Rd
Newark, CA 94560-5367
Phone
(510) 573-0064
Fax
(510) 573-0096
NPI assigned
Jul 12, 2018
Last updated
Dec 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Mr. Naweed Muhammad, M.S. RPHNPI 1184906430
Title
Ceo
Phone
(510) 902-8082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 55535 CA Primary

Addresses

Primary practice location

5886 Mowry School Rd
Newark, CA 94560-5367

Mailing address

5886 Mowry School Road
Newark, CA 94560-5367
Phone (510) 573-0064

Other identifiers 1

IdentifierTypeStateIssuer
352567375OtherIRS

Other names 2

  • TIB LTC Doing business as
  • TIB Pharmacy Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210302001349 CA Part B Supplier - Mass Immunization (Roster Biller Only) 3274878442 Practice locations: Newark, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Rxnovo LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1447736509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5886 MOWRY SCHOOL ROAD",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605367",
            "telephone_number": "510-573-0064",
            "fax_number": "510-573-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5886 MOWRY SCHOOL RD",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605367",
            "telephone_number": "510-573-0064",
            "fax_number": "510-573-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXNOVO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "NAWEED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-902-8082",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S. RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "55535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "352567375",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIB LTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TIB Pharmacy Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Newark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.