RADIANCE PHARMACY INC NPI 1578128088

NPI Details

RADIANCE PHARMACY INC is a long term care pharmacy pharmacy in San Bernardino, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. RADIANCE PHARMACY INC NPI is 1578128088. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1823 COMMERCENTER WEST
SAN BERNARDINO, CA
ZIP 92408-300
Phone: (909) 333-4567
Fax: (909) 333-4564

The provider's authorized official is Kikunj C Dhami .
The authorized official title is President/ceo and has the following contact phone number (909) 333-4567.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
• Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 5/9/2019 and was last updated on 11/28/2025.

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: