Inland Valley Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 53641 Issued in CA

Legal business name

INLAND VALLEY PHARMACY INC

Doing business as

Inland Valley Pharmacy

Practice address

3349 W Florida Ave
Hemet, CA 92545-3513

Phone

(951) 766-5100

Fax

(951) 766-5114

NPI assigned

Oct 2, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Amie Peralta

Title

President/Owner

Phone

(951) 766-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• INLAND VALLEY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1639549645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925453513",
            "telephone_number": "951-766-5100",
            "fax_number": "951-766-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925453513",
            "telephone_number": "951-766-5100",
            "fax_number": "951-766-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND VALLEY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "PERALTA",
        "authorized_official_first_name": "AMIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "951-766-5100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 53641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5657121",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INLAND VALLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INLAND VALLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Breanna Jackson
• Mya Jackson
• Tori Consuelo Jackson, RAS

• Community/Retail Pharmacy in Hemet, CA
• Providers in Hemet, 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 Mar 17, 2022; 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.