Organization Active NPI

Advanced RX Corona LLC

  • Long Term Care Pharmacy
  • Corona, CA
National Provider Identifier
1487054839
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ADVANCED RX CORONA LLC
Practice address
320 Bonnie Cir
Corona, CA 92878-4374
Phone
(951) 256-8800
Fax
(951) 284-4594
NPI assigned
Sep 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Manishkumar Trikambhai Patel
Title
Member
Phone
(951) 256-8800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

320 Bonnie Cir
Corona, CA 92878-4374

Mailing address

320 Bonnie Cir
Corona, CA 92878-4374
Phone (951) 256-8800

Other identifiers 1

IdentifierTypeStateIssuer
PHY60560OtherCABOARD OF PHARMACY

Other names 1

  • ADVANCED CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

320 Bonnie Cir
Corona, CA 92878
Phone (951) 256-8800

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1487054839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BONNIE CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928784374",
            "telephone_number": "951-256-8800",
            "fax_number": "951-284-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BONNIE CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928784374",
            "telephone_number": "951-256-8800",
            "fax_number": "951-284-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RX CORONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MANISHKUMAR",
        "authorized_official_middle_name": "TRIKAMBHAI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "951-256-8800"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY60560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.