CREDENA HEALTH PHARMACY FULLERTON
NPI 1952048712
Pharmacy - Community/Retail Pharmacy in Fullerton, CA

Q: What is Credena Health LLC's NPI number?

The NPI number for Credena Health LLC is 1952048712. It was assigned to this organization in the NPPES registry on May 13, 2022. The provider is doing business as Credena Health Pharmacy Fullerton.

Q: What is Credena Health LLC's specialty?

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

Active since May 13, 2022

1950 SUNNY CREST DR STE 1200, FULLERTON, CA 92835(714) 449-4850 Get Directions Write a Review

NPPES record last updated: March 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Credena Health Pharmacy Fullerton NPPES

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

CREDENA HEALTH PHARMACY FULLERTON (NPI 1952048712) is a healthcare organization registered as a community/retail pharmacy in Fullerton, California and active in the NPI registry since May 2022. The organization lists Mike Skafi, Avp/secretary, as its authorized official.

NPPES Registry Identity

NPI1952048712

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameCREDENA HEALTH LLC

Location Address1950 SUNNY CREST DR STE 1200Fullerton, CA 92835-3639

Mailing AddressPo Box 2704Portland, OR 97208-2704

Phone(714) 449-4850

Organization SubpartNo

Authorized OfficialMike SkafiAvp/secretary · (575) 650-3396

Enumeration DateMay 13, 2022

Last NPPES UpdateMarch 16, 2024

NPPES CertifiedMarch 16, 2024

✔ NPI 1952048712 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 ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

1950 SUNNY CREST DR STE 1200, Fullerton, CA 92835

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Other Names 1

Doing Business AsCredena Health Pharmacy Fullerton

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Credena Health Pharmacy Fullerton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20200831003396Non-DME Part B · PharmacyDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Credena Health Pharmacy Fullerton carries, from the Medicare DMEPOS supplier directory.

Credena Health Pharmacy Fullerton

DMEPOS supplier · Fullerton, CAOperated by Credena Health LLC

✔

Accepts Medicare assignment

Credena Health Pharmacy Fullerton agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20481899

Medicare Participant SinceOctober 22, 2015

Supplier Location1950 Sunny Crest Dr Ste 1200Fullerton, CA 92835

Phone(714) 449-7850

Supplier Specialties

Pharmacy

Medicare Product Categories

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Credena Health LLC's NPI number?

The NPI number for Credena Health LLC is 1952048712. It was assigned to this organization in the NPPES registry on May 13, 2022. The provider is doing business as Credena Health Pharmacy Fullerton.

Where is Credena Health LLC located?

Credena Health LLC is located at 1950 Sunny Crest Dr Ste 1200, Fullerton, CA 92835. The listed phone number is (714) 449-4850.

What is Credena Health LLC's specialty?

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

Is Credena Health LLC enrolled in Medicare?

Yes. Credena Health LLC is registered in the Medicare PECOS enrollment system.

When is Credena Health LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Pharmacy) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Credena Health LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Credena Health Pharmacy Fullerton accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Credena Health LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 43 other insurers list Credena Health 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 Credena Health LLC was last updated on March 16, 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.