Slokom LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

51702 Issued in CA

Legal business name

SLOKOM LLC

Practice address

6987 Hamner Ave Ste 4
Eastvale, CA 92880-3810

Phone

(951) 371-5070

Fax

(951) 371-5080

NPI assigned

Dec 14, 2013

Organization subpart

No

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

Authorized official

Name

Nimesh Patel, RPH

Title

Owner/Pic

Phone

(951) 371-5070

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Riverwalk Pharmacy # 2 Doing business as

Locations

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

{
    "created_epoch": "1386979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1922429109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY",
            "address_2": "SUITE 130",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925058510",
            "telephone_number": "951-352-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6987 HAMNER AVE STE 4",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803810",
            "telephone_number": "951-371-5070",
            "fax_number": "951-371-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLOKOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-14",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIMESH",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "951-371-5070",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922429109",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143460",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverwalk Pharmacy # 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Eastvale, CA
• Providers in Eastvale, 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 Jun 20, 2016; 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.