Active NPI
Evexia Health
- Pharmacy
- Bakersfield, CA
National Provider Identifier
1760085880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- EVEXIA HEALTH
- Doing business as
- Inovia Pharmacy
- Practice address
- 9902 Brimhall Rd Ste 100
Bakersfield, CA 93312-2801 - Phone
- (661) 829-7861
- Fax
- (661) 829-7862
- NPI assigned
- Nov 19, 2020
- 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
- Amer Jawich, RPH EMBA
- Title
- Cfo
- Phone
- (661) 829-7861
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
9902 Brimhall Rd Ste 100
Bakersfield, CA 93312-2801
Mailing address
PO Box 21046
Bakersfield, CA 93390-1046
Phone (661) 829-7861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58017 | Other | CA | STATE LICENSE |
Other names 1
- Inovia Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210416000423 | CA | Part B Supplier - Pharmacy | 5597173336 | Practice locations: Bakersfield, CA |
| O20210915001820 | CA | Part B Supplier - Independent Clinical Laboratory | 5597173336 | Practice locations: Bakersfield, CA |
National Provider Directory
National Provider DirectoryLocations
9902 Brimhall Rd
Ste 100
Bakersfield, CA 93312
Phone (661) 829-7861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1760085880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21046",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933901046",
"telephone_number": "661-829-7861",
"fax_number": "661-829-7862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9902 BRIMHALL RD STE 100",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933122801",
"telephone_number": "661-829-7861",
"fax_number": "661-829-7862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVEXIA HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-19",
"last_updated": "2023-03-07",
"certification_date": "2021-04-08",
"status": "A",
"authorized_official_last_name": "JAWICH",
"authorized_official_first_name": "AMER",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "661-829-7861",
"authorized_official_credential": "RPH EMBA"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "58017",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Inovia Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Inovia Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.