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GREEN VALLEY PHARMACY
NPI 1699122002
Pharmacy - Community/Retail Pharmacy in Yucaipa, CA

Active since May 17, 2016
33733 YUCAIPA BLVD STE 1, YUCAIPA, CA 92399(909) 980-0999(909) 980-1099 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2022, Nov 18, 2020, Mar 15, 2019 and 6 more (9 updates tracked since 2016).

About Green Valley Pharmacy NPPES

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

GREEN VALLEY PHARMACY (NPI 1699122002) is a healthcare organization registered as a community/retail pharmacy in Yucaipa, California and active in the NPI registry since May 2016. The organization lists Sylvia Moc, Owner/cfo/ao, as its authorized official.

NPPES Registry Identity

NPI1699122002
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGREEN VALLEY PHARMACY LLC
Location Address33733 YUCAIPA BLVD STE 1Yucaipa, CA 92399-2256
Mailing Address8237 Rochester Ave Ste 120Rancho Cucamonga, CA 91730-0717 · (909) 980-0999 · Fax (909) 980-1099
Phone(909) 980-0999
Fax(909) 980-1099
Organization SubpartNo
Authorized OfficialSylvia MocOwner/cfo/ao · (909) 980-0999
Enumeration DateMay 17, 2016
Last NPPES UpdateApril 12, 20229 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1699122002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPharmacyTaxonomy 333600000X · License 54475 (CA)
33733 YUCAIPA BLVD STE 1, Yucaipa, CA 92399
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Other Names 1

Doing Business AsGreen Valley Pharmacy

Other Identifiers 1

Medicaid1699122002CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

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 Green Valley Pharmacy LLC's NPI number?

The NPI number for Green Valley Pharmacy LLC is 1699122002. It was assigned to this organization in the NPPES registry on May 17, 2016. The provider is doing business as Green Valley Pharmacy.

Where is Green Valley Pharmacy LLC located?

Green Valley Pharmacy LLC is located at 33733 Yucaipa Blvd Ste 1, Yucaipa, CA 92399. The listed phone number is (909) 980-0999.

What is Green Valley Pharmacy LLC's specialty?

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

What insurance does Green Valley Pharmacy LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Green Valley Pharmacy LLC 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 Green Valley Pharmacy LLC was last updated on April 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.