NPIMap

Organization Active NPI

Innovrx Pharmacy Services, Inc.

  • Pharmacy
  • Yorba Linda, CA
National Provider Identifier
1770743007
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
RPH50523 Issued in CA
Legal business name
INNOVRX PHARMACY SERVICES, INC.
Practice address
4862 Olinda St
Yorba Linda, CA 92886-3419
Phone
(714) 572-2272
Fax
(714) 572-2277
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Mark Antonio Gonzalez, PHARM. D.NPI 1508226432
Title
Chief Pharmacist
Phone
(714) 572-2272

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
Pharmacy 333600000X RPH50523 CA Primary

Addresses

Primary practice location

4862 Olinda St
Yorba Linda, CA 92886-3419

Mailing address

4862 Olinda St
Yorba Linda, CA 92886-3419
Phone (714) 572-2272

Other names 1

  • Med Specialties Compounding Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4862 Olinda St
Yorba Linda, CA 92886
Phone (714) 572-2272

Practitioners & affiliated clinicians

Practitioners 4

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": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1770743007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4862 OLINDA ST",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863419",
            "telephone_number": "714-572-2272",
            "fax_number": "714-572-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4862 OLINDA ST",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863419",
            "telephone_number": "714-572-2272",
            "fax_number": "714-572-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVRX PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "714-572-2272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "RPH50523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Specialties Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.