NPIMap

Organization Active NPI

Imgrx SJ Valley, Inc.

Doing business as United Health Centers Pharmacy Huron

  • Community/Retail Pharmacy
  • Huron, CA
National Provider Identifier
1467088773
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
IMGRX SJ VALLEY, INC.
Doing business as
United Health Centers Pharmacy Huron
Practice address
17008 13TH St.
Attn: Pharmacy
Huron, CA 93234-9997
Phone
(004) 924-2278
Fax
(559) 942-8016
NPI assigned
Mar 18, 2020
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Michael Brown
Title
Vice President, Managed Services
Phone
(281) 749-4764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

17008 13TH St.
Attn: Pharmacy
Huron, CA 93234-9997

Mailing address

13651 Dublin CT
Attn: CHC Pharmacy Dept.
Stafford, TX 77477-4317
Phone (281) 749-2547

Other names 1

  • United Health Centers Pharmacy Huron Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Imgrx SJ Valley Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1467088773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13651 DUBLIN CT",
            "address_2": "ATTN: CHC PHARMACY DEPT.",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774317",
            "telephone_number": "281-749-2547",
            "fax_number": "614-652-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17008 13TH ST.",
            "address_2": "ATTN: PHARMACY",
            "city": "HURON",
            "state": "CA",
            "postal_code": "932349997",
            "telephone_number": "004-924-2278",
            "fax_number": "559-942-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMGRX SJ VALLEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2023-11-30",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT, MANAGED SERVICES",
        "authorized_official_telephone_number": "281-749-4764"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Health Centers Pharmacy Huron",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huron, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.