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JEEVA LLC NPI 1215350327


NPI Information

NPI: 1215350327
Provider Name: JEEVA LLC

Doing Business As: PACIFIC GRAND PHARMACY AND SUPPLY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
501 W GLENOAKS BLVD STE 12
GLENDALE, CA
ZIP 91202
Phone: (818) 500-1517
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JEEVA LLC is a pharmacy in Glendale, 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. JEEVA LLC NPI is 1215350327. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacific Grand Pharmacy And Supply.

The provider's business location address is:

501 W GLENOAKS BLVD STE 12
GLENDALE, CA
ZIP 91202-041
Phone: (818) 500-1517
Fax: (818) 500-1519

The provider's authorized official is Avinash Govind Ghanekar .
The authorized official title is Manager and has the following contact phone number (818) 500-2517.

The enumeration date for this NPI number is 1/24/2014 and was last updated on 10/23/2015.


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
1333600000XPharmacyPHY51730CALIFORNIAYes

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
17086350001MEDICARE NSCCALIFORNIA

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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