Organization Active NPI

Rancho Haven Care LLC

Doing business as Haven Pharmacy

  • Long Term Care Pharmacy
  • Rancho Cucamonga, CA
National Provider Identifier
1811716038
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
RANCHO HAVEN CARE LLC
Doing business as
Haven Pharmacy
Practice address
9170 Haven Ave Ste 122
Rancho Cucamonga, CA 91730-5416
Phone
(909) 989-2899
Fax
(909) 945-5443
NPI assigned
Oct 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Gopal D Sojitra, RPH
Title
Member/Manager
Phone
(909) 989-2899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

9170 Haven Ave Ste 122
Rancho Cucamonga, CA 91730-5416

Mailing address

9170 Haven Ave Ste 122
Rancho Cucamonga, CA 91730-5416
Phone (909) 989-2899

Other names 1

  • Haven Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Haven Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1811716038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9170 HAVEN AVE STE 122",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305416",
            "telephone_number": "909-989-2899",
            "fax_number": "909-945-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9170 HAVEN AVE STE 122",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305416",
            "telephone_number": "909-989-2899",
            "fax_number": "909-945-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO HAVEN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "SOJITRA",
        "authorized_official_first_name": "GOPAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "909-989-2899",
        "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": "Haven Pharmacy",
            "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 4, 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.