1922373638 NPI number — NAKSHATRA RX SERVICES INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922373638 NPI number — NAKSHATRA RX SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NAKSHATRA RX SERVICES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922373638
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/29/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7777 MILLIKEN AVE STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RANCHO CUCAMONGA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91730
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-774-5200
Provider Business Mailing Address Fax Number:
909-774-5204

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
407 E GILBERT ST STE 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN BERNARDINO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92404-5325
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-774-5200
Provider Business Practice Location Address Fax Number:
909-774-5204
Provider Enumeration Date:
03/13/2012

Additional Information

Authorized Official

Authorized Official Last Name:
SOJITRA
Authorized Official First Name:
NANDALAL
Authorized Official Middle Name:
Authorized Official Title or Position:
PIC
Authorized Official Telephone Number:
646-637-3339

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: PHY50870 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5643285 . This is a "NCPDP PROVIDER IDENTIFICATION NUMBER" identifier . This identifiers is of the category "OTHER".




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