Organization Active NPI

Avenue Health Inc

  • Long Term Care Pharmacy
  • Rancho Cucamonga, CA
National Provider Identifier
1558847392
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
AVENUE HEALTH INC
Doing business as
AVENUE HEALTH
Practice address
10373 Trademark St Ste a
Rancho Cucamonga, CA 91730-5862
Phone
(909) 206-2801
Fax
(909) 206-2891
NPI assigned
Jul 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Rohit ShetaNPI 1972982296
Title
Ceo
Phone
(909) 206-2801

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

10373 Trademark St Ste a
Rancho Cucamonga, CA 91730-5862

Mailing address

10373 Trademark St Ste a
Rancho Cucamonga, CA 91730-5862
Phone (909) 206-2801

Other names 1

  • AVENUE HEALTH Doing business as

National Provider Directory

National Provider Directory

Locations

10373 Trademark St
Ste A
Rancho Cucamonga, CA 91730
Phone (909) 206-2801

235 W Foothill Blvd
Rialto, CA 92376

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": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1558847392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10373 TRADEMARK ST STE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305862",
            "telephone_number": "909-206-2801",
            "fax_number": "909-206-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10373 TRADEMARK ST STE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305862",
            "telephone_number": "909-206-2801",
            "fax_number": "909-206-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "SHETA",
        "authorized_official_first_name": "ROHIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-206-2801"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVENUE HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.