Imperial Beach Pharmacy LLC
NPI 1134038953ActiveOrganization· Pharmacy, Specialty Pharmacy· San Diego, CA
Pharmacy, Specialty Pharmacy in San Diego, California, registered in NPPES in September 2026. The authorized official on file is Prashant Amrutlal Koyani, Owner.
Overview
| NPI | 1134038953 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2026 |
| Last updated in NPPES | Sep 8, 2026 |
| Certified by provider | Sep 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | — | — |
| Pharmacy, Home Infusion Therapy Pharmacy | 3336H0001X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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