Organization Active NPI

Proveri Ventures LLC

  • Long Term Care Pharmacy
  • Modesto, CA
National Provider Identifier
1649977836
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PROVERI VENTURES LLC
Practice address
1524 McHenry Ave Ste 160
Modesto, CA 95350-4575
Phone
(209) 662-7272
Fax
(209) 795-4316
NPI assigned
Feb 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Usof Hashim, PHARMDNPI 1558971945
Title
Managing Member/Pharmacist
Phone
(240) 481-3128

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

1524 McHenry Ave Ste 160
Modesto, CA 95350-4575

Mailing address

1524 McHenry Ave Ste 160
Modesto, CA 95350-4575
Phone (209) 662-7272

National Provider Directory

National Provider Directory
Tax ID family
Proveri Health Pharmacy Retailcommunity2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1524 McHenry Ave
Ste 160
Modesto, CA 95350
Phone (209) 662-7272

Practitioners & affiliated clinicians

Practitioners 2

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": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1649977836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE STE 160",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504575",
            "telephone_number": "209-662-7272",
            "fax_number": "209-795-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE STE 160",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504575",
            "telephone_number": "209-662-7272",
            "fax_number": "209-795-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVERI VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "HASHIM",
        "authorized_official_first_name": "USOF",
        "authorized_official_title_or_position": "MANAGING MEMBER/PHARMACIST",
        "authorized_official_telephone_number": "240-481-3128",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.