Sai Bear Creek Pharmacy LLC
NPI 1043445208ActiveOrganization· Pharmacy· Wildomar, CA
Pharmacy in Wildomar, California, registered in NPPES in May 2009. The authorized official on file is Saisatish Gunda, Managing Member. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1043445208 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2009 |
| Last updated in NPPES | Mar 3, 2023 |
| Certified by provider | Mar 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 50678 | CA |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (CA) |
|---|