SAI BEAR CREEK PHARMACY LLC NPI 1174348122

NPI Information

  • NPI: 1174348122
  • Provider Name: SAI BEAR CREEK PHARMACY LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Address: 24046 CLINTON KEITH RD STE 107
    WILDOMAR, CA
    ZIP 92595
  • Phone: (951) 677-4880

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NPI Details

SAI BEAR CREEK PHARMACY LLC is a long term care pharmacy pharmacy in Wildomar, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. SAI BEAR CREEK PHARMACY LLC NPI is 1174348122. The provider is registered as an organization entity type.

The provider's business location address is:

24046 CLINTON KEITH RD STE 107
WILDOMAR, CA
ZIP 92595-060
Phone: (951) 677-4880

The provider's authorized official is Kiran Nagaraja .
The authorized official title is Pic and has the following contact phone number (951) 677-4880.

The enumeration date for this NPI number is 11/15/2024 and was last updated on 11/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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