Organization Active NPI

Avenue Health Inc

  • Community/Retail Pharmacy
  • Rancho Cucamonga, CA
National Provider Identifier
1700667409
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AVENUE HEALTH INC
Practice address
10373 Trademark St Ste a
Rancho Cucamonga, CA 91730-5862
Phone
(909) 206-2801
Fax
(909) 206-2891
NPI assigned
Oct 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Rohit ShetaNPI 1972982296
Title
Ceo & Pharmacist-in-Charge
Phone
(909) 206-2801

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

10373 Trademark St Ste a
Rancho Cucamonga, CA 91730-5862

Mailing address

10373 Trademark St Ste a
Rancho Cucamonga, CA 91730-5862
Phone (909) 206-2801

Other names 1

  • AVENUE HEALTH Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1700667409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10373 TRADEMARK ST STE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305862",
            "telephone_number": "909-206-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10373 TRADEMARK ST STE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305862",
            "telephone_number": "909-206-2801",
            "fax_number": "909-206-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "SHETA",
        "authorized_official_first_name": "ROHIT",
        "authorized_official_title_or_position": "CEO & PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "909-206-2801"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVENUE HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AVENUE HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.