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County of Riverside

NPI 1710125638ActiveOrganization· Pharmacy, Institutional Pharmacy· Riverside, CA

Pharmacy, Institutional Pharmacy in Riverside, California, registered in NPPES in January 2009, part of County of Riverside. The authorized official on file is Davalyn Tidwell, Pharmacy Director.

Overview

NPI1710125638
StatusActive
Entity typeOrganization (subpart)
Parent organizationCounty of Riverside
NPI issuedJan 30, 2009
Last updated in NPPESMay 5, 2026
Certified by providerMay 5, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Institutional Pharmacy Primary3336I0012XHPE 35875CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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