Organization Active NPI

Evexia Health

  • Pharmacy
  • Bakersfield, CA
National Provider Identifier
1760085880
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
58017OtherCASTATE LICENSE

Other names 1

  • Inovia Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.