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SUNNYSIDE PHARMACY
NPI 1073289096
Pharmacy - Community/Retail Pharmacy in Corpus Christi, TX

Active since August 19, 2021CLIA 45D2312458 · Waiver
13310 LEOPARD ST STE 28, CORPUS CHRISTI, TX 78410(361) 248-4232(361) 248-4126 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2022, Jul 19, 2022, Apr 28, 2022 and 3 more (6 updates tracked since 2021).

About Sunnyside Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNNYSIDE PHARMACY (NPI 1073289096) is a healthcare organization registered as a community/retail pharmacy in Corpus Christi, Texas and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through October 10, 2026 and lists Jehu Tomas Gracia, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1073289096
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSUNNYSIDE PEDIATRIC PHARMACY
Location Address13310 LEOPARD ST STE 28Corpus Christi, TX 78410-4486
Mailing Address13310 Leopard St Ste 28Corpus Christi, TX 78410-4486 · (361) 248-4232 · Fax (361) 248-4126
Phone(361) 248-4232
Fax(361) 248-4126
Organization SubpartNo
Authorized OfficialJehu Tomas GraciaPharmacist In Charge · (361) 806-9100
Enumeration DateAugust 19, 2021
Last NPPES UpdateSeptember 30, 20226 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
✔ NPI 1073289096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
13310 LEOPARD ST STE 28, Corpus Christi, TX 78410
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Other Names 1

Doing Business AsSunnyside Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2312458

Sunnyside Pharmacy · Corpus Christi, TX
Active · expires Oct 10, 2026
CLIA Number45D2312458
Laboratory TypePharmacy
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorJehu Gracia
Laboratory Phone(361) 806-9100
Laboratory LocationSunnyside Pharmacy5817 Patton St Suite 100, Corpus Christi, TX 78414
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunnyside Pediatric Pharmacy's NPI number?

The NPI number for Sunnyside Pediatric Pharmacy is 1073289096. It was assigned to this organization in the NPPES registry on August 19, 2021. The provider is doing business as Sunnyside Pharmacy.

Where is Sunnyside Pediatric Pharmacy located?

Sunnyside Pediatric Pharmacy is located at 13310 Leopard St Ste 28, Corpus Christi, TX 78410. The listed phone number is (361) 248-4232.

What is Sunnyside Pediatric Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Sunnyside Pediatric Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2312458) is associated with this NPI, valid through October 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sunnyside Pediatric Pharmacy accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 55 other insurers list Sunnyside Pediatric Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sunnyside Pediatric Pharmacy was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.