AVITA PHARMACY 1012
NPI 1497142251
Pharmacy - Community/Retail Pharmacy in West Covina, CA

Active since April 20, 2015
420 S GLENDORA AVE, WEST COVINA, CA 91790(626) 869-2470(626) 919-1295 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 27, 2023, May 11, 2021, Aug 16, 2016 (3 updates tracked since 2016).

About Avita Pharmacy 1012 NPPES

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

AVITA PHARMACY 1012 (NPI 1497142251) is a healthcare organization registered as a community/retail pharmacy in West Covina, California and active in the NPI registry since April 2015. The organization lists Dalila Ibarra, Licensing & Credentialing Coordinat, as its authorized official.

NPPES Registry Identity

NPI1497142251
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePHARMEDQUEST PHARMACY SERVICES
Location Address420 S GLENDORA AVEWest Covina, CA 91790-3001
Mailing Address10604 Coursey BlvdBaton Rouge, LA 70816-4015 · (714) 599-8181 · Fax (714) 599-8242
Fax(626) 919-1295
Organization SubpartNo
Authorized OfficialDalila IbarraLicensing & Credentialing Coordinat · (657) 286-7957
Enumeration DateApril 20, 2015
Last NPPES UpdateMarch 14, 20243 updates tracked since enumeration
NPPES CertifiedMarch 14, 2024
NPI 1497142251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in CA · 53301
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.
420 S GLENDORA AVE, West Covina, CA 91790

Other Names 1

Doing Business AsAvita Pharmacy 1012

Other Identifiers 1

Medicaid1497142251CA

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Physician Assistant
420 S GLENDORA AVE
WEST COVINA, CA 91790
Clinic/Center (Federally Qualified Health Center (FQHC))
420 S GLENDORA AVE
WEST COVINA, CA 91790
Dentist
420 S GLENDORA AVE
WEST COVINA, CA 91790
Advanced Practice Midwife
420 S GLENDORA AVE
WEST COVINA, CA 91790
Clinic/Center (Federally Qualified Health Center (FQHC))
420 S GLENDORA AVE
WEST COVINA, CA 91790
Family Medicine
420 S GLENDORA AVE
WEST COVINA, CA 91790
Dietitian, Registered
420 S GLENDORA AVE
WEST COVINA, CA 91790
Family Medicine
420 S GLENDORA AVE
WEST COVINA, CA 91790

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 Pharmedquest Pharmacy Services's NPI number?

The NPI number for Pharmedquest Pharmacy Services is 1497142251. It was assigned to this organization in the NPPES registry on April 20, 2015. The provider is doing business as Avita Pharmacy 1012.

Where is Pharmedquest Pharmacy Services located?

Pharmedquest Pharmacy Services is located at 420 S Glendora Ave, West Covina, CA 91790. The listed phone number is (626) 869-2470.

What is Pharmedquest Pharmacy Services's specialty?

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

What insurance does Pharmedquest Pharmacy Services 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 49 other insurers list Pharmedquest Pharmacy Services 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 Pharmedquest Pharmacy Services was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.