Organization Active NPI

Gade LLC

  • Long Term Care Pharmacy
  • Corona, CA
National Provider Identifier
1760220172
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GADE LLC
Practice address
129 N McKinley St Ste 102
Corona, CA 92879-6593
Phone
(951) 268-9644
Fax
(951) 616-3972
NPI assigned
Jul 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Rakesh Gade, RPHNPI 1811203474
Title
Pharmacist in Charge
Phone
(951) 367-7677

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

129 N McKinley St Ste 102
Corona, CA 92879-6593

Mailing address

129 N McKinley St Ste 102
Corona, CA 92879-6593
Phone (951) 268-9644

Other names 1

  • LTC CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gade LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

129 N McKinley St
Ste 102
Corona, CA 92879
Phone (951) 268-9644

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": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1760220172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N MCKINLEY ST STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928796593",
            "telephone_number": "951-268-9644",
            "fax_number": "951-616-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N MCKINLEY ST STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928796593",
            "telephone_number": "951-268-9644",
            "fax_number": "951-616-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GADE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "GADE",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "951-367-7677",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LTC CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.