INNOVA PHARMACY III
NPI 1740820133
Pharmacy - Community/Retail Pharmacy in Sacramento, CA

Active since January 14, 2020
2400 GLENDALE LN STE A, SACRAMENTO, CA 95825(916) 487-9977(916) 487-9978 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2020, Jan 14, 2020 (2 updates tracked since 2020).

About Innova Pharmacy Iii NPPES

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

INNOVA PHARMACY III (NPI 1740820133) is a healthcare organization registered as a community/retail pharmacy in Sacramento, California and active in the NPI registry since January 2020. The organization lists Tim Thien Le, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1740820133
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameINNOVA PHARMACY III
Location Address2400 GLENDALE LN STE ASacramento, CA 95825-2431
Mailing Address1913 Eagle Glen DrRoseville, CA 95661-4025 · (916) 220-3344
Fax(916) 487-9978
Organization SubpartNo
Authorized OfficialTim Thien LePresident/ceo · (916) 220-3344
Enumeration DateJanuary 14, 2020
Last NPPES UpdateJuly 6, 20202 updates tracked since enumeration
NPPES CertifiedJuly 6, 2020
NPI 1740820133 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.
2400 GLENDALE LN STE A, Sacramento, CA 95825

Other Identifiers 1

Medicaid1740820133CA

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacy (Community/Retail Pharmacy)
2400 GLENDALE LN STE A
SACRAMENTO, CA 95825

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 III's NPI number?

The NPI number for Innova Pharmacy III is 1740820133. It was assigned to this organization in the NPPES registry on January 14, 2020.

Where is Innova Pharmacy III located?

Innova Pharmacy III is located at 2400 Glendale Ln Ste A, Sacramento, CA 95825. The listed phone number is (916) 487-9977.

What is Innova Pharmacy III's specialty?

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

What insurance does Innova Pharmacy III accept?

Health plans from Medica and Moda Health Plan, Inc. list Innova Pharmacy III 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 III was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.