Innova Pharmaceuticals Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

INNOVA PHARMACEUTICALS INC

Doing business as

Innova Pharmacy

Practice address

5830 Jameson CT
Carmichael, CA 95608-0896

Phone

(916) 481-6900

Fax

(916) 481-6680

NPI assigned

Jan 3, 2007

Last updated

Oct 22, 2021By 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. Tim T. Le, PHARM.D.NPI 1659417897

Title

President/Ceo

Phone

(916) 481-6900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Innova Pharmacy Doing business as

Locations

Practitioners 4

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.

• Tim Thien Le, PHARM. D.

  • Pharmacist
  • Carmichael, CA
  • NPI 1659417897
  NPD Authorized official
• Anthony On, PHARMD

  • Pharmacist
  • Carmichael, CA
  • NPI 1962198838
  NPD
• Igal Gafter, RPH

  • Pharmacist
  • Carmichael, CA
  • NPI 1306072715
  NPD (past)
• Minh Triet Pham

  • Pharmacist
  • Carmichael, CA
  • NPI 1659812352
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1568529915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 JAMESON CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080896",
            "telephone_number": "916-481-6900",
            "fax_number": "916-481-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 JAMESON CT",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080896",
            "telephone_number": "916-481-6900",
            "fax_number": "916-481-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA PHARMACEUTICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "916-481-6900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0589703",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568529915",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innova Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Carmichael, CA
• Providers in Carmichael, 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 Oct 22, 2021; 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.