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SIRISANSH LLC NPI 1063448280


NPI Information

NPI: 1063448280
Provider Name: SIRISANSH LLC

Doing Business As: PARKE VISTA PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
3838 SHERMAN DR.
STE. 1
RIVERSIDE, CA
ZIP 92503
Phone: (951) 687-4203
Get Directions

SIRISANSH LLC is a pharmacy in Riverside, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SIRISANSH LLC NPI is 1063448280. The provider is registered as an organization entity type.
The provider Is Doing Business As Parke Vista Pharmacy.

The provider's business location address is:

3838 SHERMAN DR.
STE. 1
RIVERSIDE, CA
ZIP 92503
Phone: (951) 687-4203
Fax: (909) 687-1145

The provider's authorized official is Sirisha Palavalli .
The authorized official title is Manager Member and has the following contact phone number (951) 687-4203.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 3/11/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyYes
23336C0003XPharmacyCommunity/Retail Pharmacy55696CALIFORNIANo
33336L0003XPharmacyLong Term Care PharmacyNo
43336M0002XPharmacyMail Order PharmacyNo
53336M0003XPharmacyManaged Care Organization PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHA420140MEDICAIDCALIFORNIA
21995845OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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