EXCEL SPECIALTY PHARMACY
NPI 1932769684
Clinic/Center in Clovis, CA

Active since June 15, 2019CLIA 05D2202124 · Waiver
604 N MAGNOLIA AVE STE 105, CLOVIS, CA 93611(302) 229-5481 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2021, Jun 29, 2020, May 28, 2020 and 1 more (4 updates tracked since 2019).

About Excel Specialty Pharmacy NPPES

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

EXCEL SPECIALTY PHARMACY (NPI 1932769684) is a healthcare organization registered as a clinic/center in Clovis, California and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through November 23, 2026 and lists Adeola O Edema, Manager, as its authorized official.

NPPES Registry Identity

NPI1932769684
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEXCEL SPECIALTY PHARMACY LLC
Location Address604 N MAGNOLIA AVE STE 105Clovis, CA 93611-9205
Mailing Address3338 Duncan AveClovis, CA 93619-5007 · (559) 375-1241
Organization SubpartNo
Authorized OfficialAdeola O EdemaManager · (559) 375-1241
Enumeration DateJune 15, 2019
Last NPPES UpdateSeptember 16, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2021
NPI 1932769684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedPharmacyTaxonomy 333600000X
604 N MAGNOLIA AVE STE 105, Clovis, CA 93611

Other Names 1

Doing Business AsExcel Specialty Pharmacy

Other Identifiers 1

Medicaid1932769684CA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2202124

Excel Specialty Pharmacy · Clovis, CA
Active · expires Nov 23, 2026
CLIA Number05D2202124
Laboratory TypePhysician Office
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorEdema Adeola
Laboratory Phone(559) 375-1241
Laboratory LocationExcel Specialty Pharmacy604 N Magnolia Ave Ste 105, Clovis, CA 93611
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Pharmacist
604 N MAGNOLIA AVE STE 105
CLOVIS, CA 93611

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 Excel Specialty Pharmacy LLC's NPI number?

The NPI number for Excel Specialty Pharmacy LLC is 1932769684. It was assigned to this organization in the NPPES registry on June 15, 2019. The provider is doing business as Excel Specialty Pharmacy.

Where is Excel Specialty Pharmacy LLC located?

Excel Specialty Pharmacy LLC is located at 604 N Magnolia Ave Ste 105, Clovis, CA 93611. The listed phone number is (302) 229-5481.

What is Excel Specialty Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Excel Specialty Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2202124) is associated with this NPI, valid through November 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Excel Specialty Pharmacy LLC 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 20 other insurers list Excel Specialty 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 Excel Specialty Pharmacy LLC was last updated on September 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.