Elevate Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ELEVATE PHARMACY INC

Doing business as

986 Pharmacy #8018

Practice address

12370 Hesperia Rd.
#7
Victorville, CA 92395-7719

Phone

(760) 843-7200

Fax

(760) 843-7360

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Lilia Xu

Title

Ceo

Phone

(760) 843-7200

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• 986 Pharmacy #8018 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reilly Thomas Oki

  • Pharmacist
  • Victorville, CA
  • NPI 1093595621
  NPD
• Brandon Son Huynh, PHARM.D.

  • Pharmacist
  • Victorville, CA
  • NPI 1447266671
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1861504797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12370 HESPERIA RD.",
            "address_2": "#7",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957719",
            "telephone_number": "760-843-7200",
            "fax_number": "760-843-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12370 HESPERIA RD.",
            "address_2": "#7",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957719",
            "telephone_number": "760-843-7200",
            "fax_number": "760-843-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "LILIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-843-7200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861504797",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "59201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "986 Pharmacy #8018",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "986 Pharmacy #8018",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gloria Eitile
• Steve A. Eklund, M.D.
• Zoheir Rached El-Hajjaoui, M.D.
• May Eldanaf, PHARM D. RPH
• Janelle Elekana
• Jaman Robert Eley, SUDDC
• Sabrina Elias
• Elijah Mobley MD Incorporated (Elijah Mobley MD Inc)
• Elite Diagnostic Imaging, LLC
• Elite Respiratory Services, LLC

• Community/Retail Pharmacy in Victorville, CA
• Providers in Victorville, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.