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AVITA PHARMACY 1013
NPI 1912388604
Pharmacy - Community/Retail Pharmacy in Pomona, CA

Active since June 18, 2015
1555 S GAREY AVE, POMONA, CA 91766(626) 869-2472(626) 869-2473 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2023, May 11, 2021, Nov 17, 2015 (3 updates tracked since 2015).

About Avita Pharmacy 1013 NPPES

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

AVITA PHARMACY 1013 (NPI 1912388604) is a healthcare organization registered as a community/retail pharmacy in Pomona, California and active in the NPI registry since June 2015. The organization lists Dalila Ibarra, Licensing & Credentialing Coordinat, as its authorized official.

NPPES Registry Identity

NPI1912388604
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePHARMEDQUEST PHARMACY SERVICES
Location Address1555 S GAREY AVEPomona, CA 91766-5222
Mailing Address10604 Coursey BlvdBaton Rouge, LA 70816-4015 · (714) 599-8181 · Fax (714) 599-8242
Phone(626) 869-2472
Fax(626) 869-2473
Organization SubpartNo
Authorized OfficialDalila IbarraLicensing & Credentialing Coordinat · (657) 286-7957
Enumeration DateJune 18, 2015
Last NPPES UpdateMarch 14, 20243 updates tracked since enumeration
NPPES CertifiedMarch 14, 2024
✔ NPI 1912388604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · 53303
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
1555 S GAREY AVE, Pomona, CA 91766
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Other Names 1

Doing Business AsAvita Pharmacy 1013

Other Identifiers 2

Medicaid1912388604CA
Other2152623Pk

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 Arizona Complete Health 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.

DIANA AGUAYO LCSW
Social Worker (Clinical)
1555 S GAREY AVE
POMONA, CA 91766
Los Angeles County (909) 620-8088
CHAN TRAN
Pharmacist
1555 S GAREY AVE
POMONA, CA 91766
Los Angeles County (626) 869-2472
KARINA NAVA
Dietitian, Registered
1555 S GAREY AVE
POMONA, CA 91766
Los Angeles County (909) 620-8088
XYLIE ALANA MEDEL
Student in an Organized Health Care Education/Training Program
1555 S GAREY AVE
POMONA, CA 91766
Los Angeles County (626) 919-4333
ALEJANDRA IBARRA
Registered Nurse
1555 S GAREY AVE
POMONA, CA 91766
Los Angeles County (909) 620-8088
BRIDGET BRAVO MSW
Social Worker
1555 S GAREY AVE
POMONA, CA 91766
Los Angeles County (626) 919-4333
REBECCA OGEMBO
Nurse Practitioner (Family)
1555 S GAREY AVE
POMONA, CA 91766
Los Angeles County (909) 620-8088
WENDY VELASCO ACSW
Social Worker
1555 S GAREY AVE
POMONA, CA 91766
Los Angeles County (626) 919-4333

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 1912388604. It was assigned to this organization in the NPPES registry on June 18, 2015. The provider is doing business as Avita Pharmacy 1013.

Where is Pharmedquest Pharmacy Services located?

Pharmedquest Pharmacy Services is located at 1555 S Garey Ave, Pomona, CA 91766. The listed phone number is (626) 869-2472.

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.