Organization Active NPI

E.V.a. Health LLC

Doing business as Citrus Valley Pharmacy

  • Long Term Care Pharmacy
  • La Puente, CA
National Provider Identifier
1669122461
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
55516OtherCASTATE PHARMACY LICENSE

Other names 1

  • Citrus Valley Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Citrus Valley Pharmacy2 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

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

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.

Verify at the official NPI Registry.