St Johns Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ST JOHNS PHARMACY CORP

Doing business as

St Johns Pharmacy

Practice address

10181 Hole Ave
Riverside, CA 92503-3441

Phone

(951) 785-6464

Fax

(951) 687-7660

NPI assigned

Jul 14, 2006

Last updated

Sep 11, 2025By 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

Rebecca Kim

Title

President

Phone

(951) 217-9705

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ST JOHNS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1962428821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10181 HOLE AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10181 HOLE AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033441",
            "telephone_number": "951-785-6464",
            "fax_number": "951-687-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-217-9705"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY47457",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5618066",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA474570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JOHNS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• St. Joseph Healthcare Agency, Inc. (St. Joseph Hospice & Palliative Care)
• St. Jude Medical Transportation
• Karen Jean St. Leger, CADC-CAS

• 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 Sep 11, 2025; 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.