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MORANGO INDIAN CLINIC PHARMACY
NPI 1902954944
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Banning, CA

Active since January 08, 2007
11555 1/2 POTRERO RD, BANNING, CA 92220(951) 849-4761(951) 849-0681 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 29, 2017, Mar 20, 2017 (2 updates tracked since 2017).

About Morango Indian Clinic Pharmacy NPPES

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

MORANGO INDIAN CLINIC PHARMACY (NPI 1902954944) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Banning, California and active in the NPI registry since January 2007. The organization lists Sue Yoon, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1902954944
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NameRIVERSIDE SAN BERNARDINO COUNTY INDIAN HEALTH INC
Location Address11555 1/2 POTRERO RDBanning, CA 92220-6946
Mailing Address11980 Mount Vernon AveGrand Terrace, CA 92313-5172 · (909) 864-1097 · Fax (909) 503-1969
Phone(951) 849-4761
Fax(951) 849-0681
Organization SubpartNo
Authorized OfficialSue YoonDirector Of Pharmacy · (909) 864-1097
Enumeration DateJanuary 8, 2007
Last NPPES UpdateMarch 29, 20172 updates tracked since enumeration
✔ NPI 1902954944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Taxonomy Code332800000X
License✔ Licensed in CA · PHY32790
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Also ListedPharmacyTaxonomy 333600000X
11555 1/2 POTRERO RD, Banning, CA 92220
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Other Names 1

Doing Business AsMorango Indian Clinic Pharmacy

Other Identifiers 2

MedicaidFHC03854CA
Other1998432Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.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.

HEATHER MERCER PSYD, DRPH
Psychologist (Health Service)
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761
DR. MANUEL I SALMERON MD
Family Medicine
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (800) 732-8805
ELENA VIRGINIA WEAVER
Driver
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761
CHAD E STOCKERT O.D.
Optometrist
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (909) 849-4761
JULIE ANN ANDREWS LCSW
Social Worker (Clinical)
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761
MS. SANDRA H CONLEY R.N.
Registered Nurse
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761
DR. KAREN J DAVIS MD
Family Medicine
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761
RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
11555 1/2 POTRERO RD
BANNING, CA 92220
Riverside County (951) 849-4761

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 Riverside San Bernardino County Indian Health Inc's NPI number?

The NPI number for Riverside San Bernardino County Indian Health Inc is 1902954944. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Morango Indian Clinic Pharmacy.

Where is Riverside San Bernardino County Indian Health Inc located?

Riverside San Bernardino County Indian Health Inc is located at 11555 1/2 Potrero Rd, Banning, CA 92220. The listed phone number is (951) 849-4761.

What is Riverside San Bernardino County Indian Health Inc's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

What insurance does Riverside San Bernardino County Indian Health Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 44 other insurers list Riverside San Bernardino County Indian Health Inc 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 Riverside San Bernardino County Indian Health Inc was last updated on March 29, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.