Kernville Healthcare Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KERNVILLE HEALTHCARE INC

Doing business as

Lake Isabella Pharmacy

Practice address

6504 Lake Isabella Blvd Unit a
Lake Isabella, CA 93240-9270

Phone

(661) 431-4915

NPI assigned

Feb 20, 2025

Last updated

Sep 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joel F

Title

Director

Phone

(760) 549-7971

Specialties & licenses 1

Addresses

Other names 1

• Lake Isabella Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1467258442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 LAKE ISABELLA BLVD",
            "city": "LAKE ISABELLA",
            "state": "CA",
            "postal_code": "932409270",
            "telephone_number": "760-549-7971",
            "fax_number": "760-417-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6504 LAKE ISABELLA BLVD UNIT A",
            "city": "LAKE ISABELLA",
            "state": "CA",
            "postal_code": "932409270",
            "telephone_number": "661-431-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERNVILLE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "F",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "760-549-7971",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Isabella Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kern River Valley Indian Health Services
• Kern Valley Healthcare District
• Kern Valley Healthcare District (Kern Valley Healthcare District MobileCare)
• Kern Valley Medical Supply
• Kernville Healthcare Inc
• Kernville Union Elementary School District
• Parinaz Khojastehfar
• Larry E Waggoner O D Prof Corp
• Gail Teresa Lindblom
• Amanda Linn

• Community/Retail Pharmacy in Lake Isabella, CA
• Providers in Lake Isabella, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.