Amsam Enterprises LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY55955 Issued in CA

Legal business name

AMSAM ENTERPRISES LLC

Doing business as

White Cross Pharmacy #2

Practice address

7065 Indiana Ave Ste 310
Riverside, CA 92506-4167

Phone

(951) 370-1336

Fax

(951) 370-1336

NPI assigned

Feb 2, 2018

Last updated

Feb 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sameer Rakholia

Title

Owner / Pic

Phone

(951) 370-1336

Specialties & licenses 1

Addresses

Other names 1

• White Cross Pharmacy #2 Doing business as

Locations

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517875200000",
    "number": "1912406158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7065 INDIANA AVE STE 310",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064167",
            "telephone_number": "951-370-1336",
            "fax_number": "951-370-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 INDIANA AVE STE 310",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064167",
            "telephone_number": "951-370-1336",
            "fax_number": "951-370-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMSAM ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-06",
        "status": "A",
        "authorized_official_last_name": "RAKHOLIA",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "OWNER / PIC",
        "authorized_official_telephone_number": "951-370-1336"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Cross Pharmacy #2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White Cross Pharmacy #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Riverside, CA
• Providers in Riverside, 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 6, 2018; 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.