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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

INNOVA PHARMACY II
NPI 1124647011
Pharmacy - Community/Retail Pharmacy in Sacramento, CA

Active since April 11, 2020
3701 J ST STE 101, SACRAMENTO, CA 95816(916) 465-8999(916) 475-1285 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Oct 22, 2021, Jul 6, 2020 and 1 more (4 updates tracked since 2020).

About Innova Pharmacy Ii NPPES

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

INNOVA PHARMACY II (NPI 1124647011) is a healthcare organization registered as a community/retail pharmacy in Sacramento, California and active in the NPI registry since April 2020. The organization lists Tim Thien Le, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1124647011
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameINNOVA PHARMACY II
Location Address3701 J ST STE 101Sacramento, CA 95816-5542
Mailing Address3701 J St Ste 101Sacramento, CA 95816-5542 · (916) 564-8999 · Fax (916) 623-4440
Phone(916) 465-8999
Fax(916) 475-1285
Organization SubpartNo
Authorized OfficialTim Thien LePresident/ceo · (916) 220-3344
Enumeration DateApril 11, 2020
Last NPPES UpdateSeptember 29, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1124647011 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.
3701 J ST STE 101, Sacramento, CA 95816
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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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innova Pharmacy Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20200625000484DME · PharmacyDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Innova Pharmacy II carries, from the Medicare DMEPOS supplier directory.

Innova Pharmacy II

DMEPOS supplier · Sacramento, CA
✔

Accepts Medicare assignment

Innova Pharmacy II agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)34357874
Medicare Participant SinceJune 23, 2020
Supplier Location3701 J St Ste 101Sacramento, CA 95816
Phone(916) 465-8999
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELICA HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
3701 J ST STE 101
SACRAMENTO, CA 95816
Sacramento County (916) 454-2345

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 Innova Pharmacy II's NPI number?

The NPI number for Innova Pharmacy II is 1124647011. It was assigned to this organization in the NPPES registry on April 11, 2020.

Where is Innova Pharmacy II located?

Innova Pharmacy II is located at 3701 J St Ste 101, Sacramento, CA 95816. The listed phone number is (916) 465-8999.

What is Innova Pharmacy II's specialty?

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

Is Innova Pharmacy II enrolled in Medicare?

Yes. Innova Pharmacy II is registered in the Medicare PECOS enrollment system.

When is Innova Pharmacy II's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Pharmacy) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Innova Pharmacy II accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Innova Pharmacy II accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Innova Pharmacy II accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 44 other insurers list Innova Pharmacy II 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 Innova Pharmacy II was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.