Active NPI
E.V.a. Health LLC
Doing business as Citrus Valley Pharmacy
- Long Term Care Pharmacy
- La Puente, CA
National Provider Identifier
1669122461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- E.V.A. HEALTH LLC
- Doing business as
- Citrus Valley Pharmacy
- Practice address
- 15869 Amar Rd.
La Puente, CA 91744-2107 - Phone
- (626) 261-4400
- Fax
- (626) 261-4948
- NPI assigned
- Mar 24, 2022
- Last updated
- Jun 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chad Nour, RPH, APH
- Title
- Owner
- Phone
- (626) 261-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
15869 Amar Rd.
La Puente, CA 91744-2107
Mailing address
15869 Amar Rd.
La Puente, CA 91744
Phone (626) 261-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55516 | Other | CA | STATE PHARMACY LICENSE |
Other names 1
- Citrus Valley Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Citrus Valley Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
457 S Citrus Ave
Covina, CA 91723
Phone (626) 261-4400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749600000000",
"number": "1669122461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15869 AMAR RD.",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "91744",
"telephone_number": "626-261-4400",
"fax_number": "626-261-4948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15869 AMAR RD.",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917442107",
"telephone_number": "626-261-4400",
"fax_number": "626-261-4948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "E.V.A. HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-24",
"last_updated": "2025-06-11",
"certification_date": "2025-05-23",
"status": "A",
"authorized_official_last_name": "NOUR",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-261-4400",
"authorized_official_credential": "RPH, APH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACY LICENSE",
"identifier": "55516",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Citrus Valley Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Citrus Valley Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Puente, CA
- DS Drugs Inc (Gonzalez Pharmacy)
- Duc M. Doan, D.D.S., Inc.
- Marsha G Duque, LVN
- Dynasty Medical Transportation
- E M Tash DDS PC (La Puente Dental Group)
- East Valley Community Health Center
- East Valley Community Health Center, Inc.
- East Valley Community Health Center, Inc.
- Echarte, Fernandez Professional Dental Corporation
- Edward P. & Diane M. Hernandez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.